| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $3,311.31 | $3,311.31 | $4,168.69 | |
Lucent Health
| Facility | $54.95 | $56.23 | $6,606.93 | |
Lucent Health
| Professional | $12,022.64 | $12,022.64 | $12,022.64 | |
Oscar Health
| Professional | $7.08 | $3,162.28 | $3,801.89 |