| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $691.83 | $724.44 | $870.96 | |
Lucent Health
| Facility | $2,884.03 | $2,884.03 | $2,884.03 | |
Lucent Health
| Professional | $6,025.60 | $6,025.60 | $6,025.60 | |
Oscar Health
| Professional | $0.60 | $1,071.52 | $1,288.25 |