| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $630.96 | $1,258.93 | $1,621.81 | |
Lucent Health
| Facility | $7,762.47 | $19,498.45 | $19,498.45 | |
Lucent Health
| Professional | $1,995.26 | $1,995.26 | $2,041.74 | |
Oscar Health
| Professional | $5.01 | $616.60 | $776.25 |