| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,698.24 | $1,778.28 | $2,137.96 | |
Lucent Health
| Facility | $8,511.38 | $8,511.38 | $8,511.38 | |
Lucent Health
| Professional | $8,511.38 | $8,511.38 | $8,511.38 | |
Oscar Health
| Professional | $0.60 | $2,884.03 | $3,467.37 | |
United
| Professional | $1,862.09 | $1,995.26 | $2,089.30 |