| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $7,417.57 | $15,070.42 | $19,083.87 | |
Lucent Health
| Facility | $55.00 | $55.00 | $17,683.50 | |
Lucent Health
| Professional | $22,267.56 | $22,267.56 | $22,267.56 | |
Oscar Health
| Professional | $30.00 | $6,416.70 | $8,422.20 |