| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $839.51 | $1,802.74 | $2,159.89 | |
Lucent Health
| Facility | $975.87 | $1,421.97 | $1,421.97 | |
Lucent Health
| Professional | $1,933.67 | $2,243.75 | $2,243.75 | |
Oscar Health
| Professional | $670.40 | $821.10 | $989.50 |