I just now got a LB2120 LTE modem plugged into OPT1with the same scenario. Gateway is online for main ISP WAN but offline for LTE WAN2. I can place in load balancing with both on Tier1 and WAN2 pulls data, I can connect it to the WAN by itself and it works just fine however it always is stated as the gateway offline. Have you by chance found a solution to your problem or an adjustment to the gateway monitor?
UPDATE:
First off, just figured out that LTE networks only use carrier grade NAT which means even if you place your LTE modem in bridged mode, you're still in their network and not truly going to pull a public IP. Ugh. Their network is an IPv6 with IPv4 network translation. I do get a IPv6 with some configuring but without majorly adjusting settings within pfSense and I need IPv4 anyway.
Now to answer your question, since we're still in a carrier grade NAT even in bridged mode, pfSense will say offline. Since the LTE modem is the failover and if neither WAN or WAN2 work then I'm toast I just set the WAN2 to not be monitored and failover works. Go to:
System -> Routing -> Gateways and edit WAN2 gateway and next to Gateway Monitoring check to disable.