| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $254.52 | $267.12 | $320.04 | |
Lucent Health
| Facility | $410.42 | $19,841.28 | $19,841.28 | |
Lucent Health
| Professional | $3,292.32 | $3,762.65 | $3,762.65 | |
Oscar Health
| Professional | $64.30 | $64.30 | $64.30 |