| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,676.34 | $1,676.34 | $2,095.42 | |
Lucent Health
| Facility | $55.00 | $55.00 | $4,777.50 | |
Lucent Health
| Professional | $4,679.97 | $4,729.09 | $4,729.09 | |
Oscar Health
| Professional | $1,253.20 | $1,253.20 | $1,253.20 |