| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $333.66 | $333.66 | $417.08 | |
Lucent Health
| Facility | $3,906.46 | $12,000.00 | $12,000.00 | |
Lucent Health
| Professional | $1,692.26 | $1,692.26 | $1,692.26 | |
Oscar Health
| Professional | $279.80 | $279.80 | $279.80 |