| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $2,398.83 | $2,398.83 | $2,884.03 | |
Lucent Health
| Facility | $5,011.87 | $5,011.87 | $5,011.87 | |
Lucent Health
| Professional | $9,120.11 | $9,120.11 | $9,120.11 | |
Moda Health
| Professional | $2,041.74 | $2,041.74 | $2,041.74 | |
United
| Professional | $851.14 | $851.14 | $1,230.27 |