| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $2,133.28 | $2,133.28 | $2,666.60 | |
Lucent Health
| Facility | $55.00 | $2,000.00 | $4,253.85 | |
Lucent Health
| Professional | $5,897.00 | $5,897.00 | $5,897.00 | |
Oscar Health
| Professional | $1,377.40 | $1,377.40 | $1,377.40 |