| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $831.76 | $1,230.27 | $1,659.59 | |
Lucent Health
| Facility | $2,951.21 | $2,951.21 | $2,951.21 | |
Lucent Health
| Professional | $4,365.16 | $4,365.16 | $4,365.16 | |
Oscar Health
| Professional | $831.76 | $1,096.48 | $1,479.11 |