| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $426.58 | $724.44 | $1,412.54 | |
Lucent Health
| Facility | $3,090.30 | $28,840.32 | $28,840.32 | |
Lucent Health
| Professional | $1,445.44 | $1,445.44 | $1,513.56 | |
Oscar Health
| Professional | $295.12 | $295.12 | $295.12 |