| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $825.22 | $1,229.69 | $1,654.98 | |
Lucent Health
| Facility | $871.20 | $2,968.44 | $2,968.44 | |
Lucent Health
| Professional | $4,357.89 | $4,357.89 | $4,357.89 | |
Oscar Health
| Professional | $766.50 | $1,181.80 | $1,424.10 |