| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $107.20 | $220.64 | $2,309.40 | |
Lucent Health
| Facility | $210.14 | $11,500.00 | $12,000.00 | |
Lucent Health
| Professional | $525.38 | $2,289.21 | $2,289.21 | |
Oscar Health
| Professional | $4.00 | $127.80 | $1,151.20 |