| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $459.23 | $459.23 | $550.21 | |
Lucent Health
| Facility | $889.45 | $894.54 | $894.54 | |
Lucent Health
| Professional | $1,270.64 | $1,270.64 | $1,270.64 | |
Moda Health
| Facility | $541.50 | $541.50 | $967.51 |