| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $946.50 | $993.35 | $1,190.15 | |
Lucent Health
| Facility | $1,381.58 | $8,615.98 | $8,615.98 | |
Lucent Health
| Professional | $2,996.65 | $2,996.65 | $2,996.65 | |
Oscar Health
| Professional | $27.40 | $1,063.90 | $1,281.90 |