| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $889.76 | $1,807.74 | $2,289.17 | |
Lucent Health
| Facility | $3,084.69 | $11,500.00 | $12,000.00 | |
Lucent Health
| Professional | $2,058.35 | $2,058.35 | $2,058.35 | |
Oscar Health
| Professional | $5.00 | $440.10 | $1,018.40 |