| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $902.49 | $1,833.61 | $2,321.92 | |
Lucent Health
| Facility | $8,444.70 | $13,152.00 | $26,542.00 | |
Lucent Health
| Professional | $3,713.33 | $3,713.33 | $3,713.33 | |
Oscar Health
| Professional | $4.00 | $627.70 | $1,243.09 |