| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $2,481.01 | $2,481.01 | $3,101.26 | |
Lucent Health
| Facility | $12,131.00 | $26,542.00 | $71,377.70 | |
Lucent Health
| Professional | $8,377.76 | $9,404.85 | $9,404.85 | |
Oscar Health
| Professional | $1,573.40 | $1,573.40 | $1,573.40 |