| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,742.00 | $3,539.26 | $4,481.80 | |
Lucent Health
| Facility | $55.00 | $55.00 | $3,459.78 | |
Lucent Health
| Professional | $7,624.00 | $7,624.00 | $7,624.00 | |
Oscar Health
| Professional | $7.00 | $1,533.50 | $2,017.80 |