| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $3,663.56 | $4,579.45 | $8,917.95 | |
Lucent Health
| Facility | $55.00 | $5,000.00 | $6,613.14 | |
Lucent Health
| Professional | $10,732.74 | $10,732.74 | $10,732.74 | |
Oscar Health
| Professional | $2,047.70 | $2,047.70 | $2,047.70 |