| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $3,059.89 | $6,216.84 | $7,872.46 | |
Lucent Health
| Facility | $55.00 | $55.00 | $6,084.33 | |
Lucent Health
| Professional | $8,423.81 | $8,423.81 | $8,423.81 | |
Oscar Health
| Professional | $7.00 | $1,866.40 | $3,571.90 | |
United
| Facility | $635.00 | $635.00 | $635.00 |