| 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 | $6,456.54 | |
Lucent Health
| Professional | $13,489.63 | $13,489.63 | $13,489.63 | |
Oscar Health
| Professional | $10.96 | $3,235.94 | $3,890.45 |