| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,737.80 | $3,548.13 | $4,466.84 | |
Lucent Health
| Facility | $54.95 | $56.23 | $3,467.37 | |
Lucent Health
| Professional | $7,585.78 | $7,585.78 | $7,585.78 | |
Oscar Health
| Professional | $1,096.48 | $1,819.70 | $2,187.76 |