| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $3,417.00 | $3,417.00 | $4,271.25 | |
Lucent Health
| Facility | $55.00 | $55.00 | $6,610.74 | |
Lucent Health
| Professional | $12,098.52 | $12,098.52 | $12,098.52 | |
Oscar Health
| Professional | $2,702.30 | $2,702.30 | $2,702.30 |