| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $2,803.28 | $3,504.10 | $6,823.83 | |
Lucent Health
| Facility | $55.00 | $5,000.00 | $5,242.08 | |
Lucent Health
| Professional | $11,402.46 | $11,402.46 | $11,402.46 | |
Oscar Health
| Professional | $1,740.80 | $1,740.80 | $1,740.80 |