| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,387.57 | $1,387.57 | $1,734.46 | |
Lucent Health
| Facility | $5,414.80 | $16,394.00 | $16,394.00 | |
Lucent Health
| Professional | $3,372.99 | $4,159.95 | $4,159.95 | |
Oscar Health
| Professional | $1,002.40 | $1,002.40 | $1,002.40 |