| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $2,504.46 | $2,504.46 | $3,130.58 | |
Lucent Health
| Facility | $55.00 | $55.00 | $5,226.72 | |
Lucent Health
| Professional | $6,775.00 | $6,775.00 | $6,775.00 | |
Oscar Health
| Professional | $1,694.30 | $1,694.30 | $1,694.30 |