| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $2,899.71 | $3,043.26 | $3,646.17 | |
Lucent Health
| Facility | $4,300.55 | $13,712.95 | $13,712.95 | |
Lucent Health
| Professional | $7,866.90 | $7,866.90 | $7,866.90 | |
Oscar Health
| Professional | $27.40 | $4,415.60 | $5,320.60 |