| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $3,136.27 | $3,136.27 | $3,920.34 | |
Lucent Health
| Facility | $55.00 | $55.00 | $6,333.72 | |
Lucent Health
| Professional | $9,730.00 | $9,730.00 | $9,730.00 | |
Oscar Health
| Professional | $2,054.00 | $2,054.00 | $2,054.00 |