| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $3,343.30 | $3,343.30 | $4,179.13 | |
Lucent Health
| Facility | $55.00 | $55.00 | $6,533.64 | |
Lucent Health
| Professional | $12,122.00 | $12,122.00 | $12,122.00 | |
Oscar Health
| Professional | $2,285.50 | $2,285.50 | $2,285.50 |