| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $2,137.96 | $2,137.96 | $2,691.53 | |
Lucent Health
| Facility | $1,995.26 | $1,995.26 | $4,265.80 | |
Lucent Health
| Professional | $5,888.44 | $5,888.44 | $5,888.44 | |
Oscar Health
| Professional | $6.03 | $2,398.83 | $2,884.03 |