| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,157.08 | $2,484.69 | $2,976.95 | |
Lucent Health
| Facility | $1,261.58 | $1,707.88 | $1,707.88 | |
Lucent Health
| Professional | $2,966.54 | $3,641.06 | $3,641.06 | |
Oscar Health
| Professional | $253.00 | $1,542.00 | $1,858.00 |