| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $431.48 | $580.89 | $1,180.21 | |
Lucent Health
| Facility | $568.24 | $11,500.00 | $16,394.00 | |
Lucent Health
| Professional | $1,313.00 | $1,530.66 | $1,530.66 | |
Oscar Health
| Professional | $294.89 | $294.89 | $294.89 |