| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $828.98 | $1,235.30 | $1,685.02 | |
Lucent Health
| Facility | $834.95 | $2,771.52 | $2,771.52 | |
Lucent Health
| Professional | $3,772.97 | $3,772.97 | $3,772.97 | |
Oscar Health
| Professional | $766.50 | $1,190.90 | $1,435.00 |