| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,698.24 | $3,467.37 | $4,365.16 | |
Lucent Health
| Facility | $18,197.01 | $33,884.42 | $33,884.42 | |
Lucent Health
| Professional | $6,606.93 | $6,606.93 | $6,606.93 | |
Oscar Health
| Professional | $741.31 | $1,659.59 | $2,187.76 |