| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $771.84 | $964.80 | $1,878.84 | |
Lucent Health
| Facility | $1,139.73 | $11,500.00 | $26,542.00 | |
Lucent Health
| Professional | $1,930.78 | $2,625.27 | $2,625.27 | |
Oscar Health
| Professional | $538.29 | $538.29 | $538.29 |