| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $2,505.80 | $2,505.80 | $3,132.25 | |
Lucent Health
| Facility | $12,131.00 | $26,542.00 | $34,307.30 | |
Lucent Health
| Professional | $8,652.42 | $9,138.90 | $9,138.90 | |
Oscar Health
| Professional | $1,592.00 | $1,592.00 | $1,592.00 |