| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,708.50 | $3,471.19 | $4,395.62 | |
Lucent Health
| Facility | $11,500.00 | $18,009.95 | $26,542.00 | |
Lucent Health
| Professional | $6,677.33 | $6,677.33 | $6,677.33 | |
Oscar Health
| Professional | $5.00 | $942.00 | $1,898.80 |