| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $16.60 | $20.89 | $74.13 | |
Lucent Health
| Facility | $147.91 | $147.91 | $147.91 | |
Lucent Health
| Professional | $158.49 | $158.49 | $158.49 | |
Oscar Health
| Professional | $28.18 | $100.00 | $131.83 |