| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $478.63 | $478.63 | $2,313.21 | |
Lucent Health
| Facility | $55.00 | $8,980.00 | $8,980.00 | |
Lucent Health
| Professional | $3,927.00 | $10,567.34 | $10,567.34 | |
Oscar Health
| Professional | $838.80 | $838.80 | $838.80 |