| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $2,039.48 | $2,039.48 | $2,549.35 | |
Lucent Health
| Facility | $55.00 | $55.00 | $4,067.94 | |
Lucent Health
| Professional | $8,306.09 | $8,306.09 | $8,306.09 | |
Oscar Health
| Professional | $1,376.10 | $1,376.10 | $1,376.10 |