| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $337.35 | $337.35 | $2,241.23 | |
Lucent Health
| Facility | $839.09 | $26,542.00 | $26,542.00 | |
Lucent Health
| Professional | $3,601.95 | $9,427.81 | $9,427.81 | |
Oscar Health
| Professional | $2,029.50 | $2,029.50 | $2,029.50 |