| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $10,964.78 | $10,964.78 | $10,964.78 | |
Lucent Health
| Professional | $891.25 | $891.25 | $891.25 | |
Oscar Health
| Professional | $3.02 | $3.02 | $3.02 | |
United
| Professional | $223.87 | $275.42 | $389.05 |