| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $2,137.30 | $2,671.63 | $5,202.68 | |
Lucent Health
| Facility | $55.00 | $55.00 | $4,466.45 | |
Lucent Health
| Professional | $7,309.74 | $7,309.74 | $7,309.74 | |
Oscar Health
| Professional | $1,372.70 | $1,372.70 | $1,372.70 |