| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $370.51 | $752.77 | $953.25 | |
Lucent Health
| Facility | $1,336.34 | $11,500.00 | $12,000.00 | |
Lucent Health
| Professional | $956.41 | $956.41 | $956.41 | |
Oscar Health
| Professional | $5.00 | $283.70 | $418.70 |