| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $2,511.89 | $2,511.89 | $3,162.28 | |
Lucent Health
| Facility | $12,589.25 | $42,657.95 | $42,657.95 | |
Lucent Health
| Professional | $6,606.93 | $6,606.93 | $6,606.93 | |
Oscar Health
| Professional | $5.01 | $2,691.53 | $3,311.31 |