| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $758.78 | $1,303.50 | $2,527.94 | |
Lucent Health
| Facility | $819.41 | $11,500.00 | $16,394.00 | |
Lucent Health
| Professional | $1,906.00 | $2,776.00 | $2,776.00 | |
Oscar Health
| Professional | $5.00 | $760.20 | $1,228.80 |