| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $2,535.28 | $2,535.28 | $3,169.10 | |
Lucent Health
| Facility | $6,902.67 | $26,542.00 | $26,542.00 | |
Lucent Health
| Professional | $6,579.28 | $6,579.28 | $6,579.28 | |
Oscar Health
| Professional | $1,953.00 | $1,953.00 | $1,953.00 |