| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $2,880.33 | $2,880.33 | $3,600.41 | |
Lucent Health
| Facility | $11,500.00 | $26,542.00 | $26,542.00 | |
Lucent Health
| Professional | $8,219.00 | $8,219.00 | $8,219.00 | |
Oscar Health
| Professional | $1,816.30 | $1,816.30 | $1,816.30 |