| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $169.82 | $208.93 | $954.99 | |
Lucent Health
| Facility | $3,311.31 | $19,498.45 | $19,498.45 | |
Lucent Health
| Professional | $1,862.09 | $1,862.09 | $2,041.74 | |
Oscar Health
| Professional | $3.98 | $954.99 | $1,148.15 |