| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,698.24 | $3,388.44 | $4,365.16 | |
Lucent Health
| Facility | $2,818.38 | $2,818.38 | $22,908.68 | |
Lucent Health
| Professional | $4,265.80 | $4,265.80 | $4,365.16 | |
Oscar Health
| Professional | $912.01 | $1,621.81 | $2,290.87 | |
United
| Professional | $812.83 | $1,000.00 | $1,348.96 |