| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $3,801.89 | $4,786.30 | $9,332.54 | |
Lucent Health
| Facility | $5,011.87 | $5,011.87 | $7,079.46 | |
Lucent Health
| Professional | $11,220.18 | $11,220.18 | $11,220.18 | |
Oscar Health
| Professional | $2,238.72 | $2,238.72 | $4,073.80 | |
United
| Professional | $1,659.59 | $2,089.30 | $2,570.40 |