| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $3,526.87 | $8,969.79 | $8,969.79 | |
Lucent Health
| Professional | $16,130.00 | $16,276.95 | $16,276.95 | |
Oscar Health
| Professional | $3,480.30 | $3,480.30 | $3,480.30 |