| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $2,757.05 | $5,601.55 | $7,093.32 | |
Lucent Health
| Facility | $55.00 | $55.00 | $5,661.36 | |
Lucent Health
| Professional | $7,378.98 | $7,378.98 | $7,378.98 | |
Oscar Health
| Professional | $15.00 | $1,671.70 | $3,153.70 |