| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $148.07 | $284.08 | $577.16 | |
Lucent Health
| Facility | $202.99 | $11,500.00 | $12,000.00 | |
Lucent Health
| Professional | $1,017.00 | $1,017.00 | $1,017.00 | |
Oscar Health
| Professional | $171.20 | $171.20 | $171.20 |