| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $2,511.89 | $2,511.89 | $3,162.28 | |
Lucent Health
| Facility | $54.95 | $56.23 | $5,248.07 | |
Lucent Health
| Professional | $6,760.83 | $6,760.83 | $6,760.83 | |
Oscar Health
| Professional | $6.03 | $2,691.53 | $3,235.94 |