| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $3,204.61 | $3,204.61 | $4,005.76 | |
Lucent Health
| Facility | $55.00 | $55.00 | $6,773.97 | |
Lucent Health
| Professional | $12,919.80 | $12,919.80 | $12,919.80 | |
Oscar Health
| Professional | $2,509.90 | $2,509.90 | $2,509.90 |