| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $549.54 | $549.54 | $660.69 | |
Lucent Health
| Facility | $1,698.24 | $1,698.24 | $1,698.24 | |
Lucent Health
| Professional | $2,238.72 | $2,238.72 | $2,238.72 | |
Oscar Health
| Professional | $446.68 | $537.03 | $1,584.89 | |
United
| Professional | $190.55 | $269.15 | $269.15 |