| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $2,887.70 | $2,887.70 | $3,609.63 | |
Lucent Health
| Facility | $55.00 | $55.00 | $5,694.18 | |
Lucent Health
| Professional | $8,992.00 | $8,992.00 | $8,992.00 | |
Oscar Health
| Professional | $1,862.70 | $1,862.70 | $1,862.70 |