| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $4,393.30 | $8,026.38 | $8,026.38 | |
Lucent Health
| Professional | $16,596.00 | $20,271.75 | $20,271.75 | |
Oscar Health
| Professional | $3,544.70 | $3,544.70 | $3,544.70 |