| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $126.75 | $126.75 | $158.44 | |
Lucent Health
| Facility | $154.47 | $165.92 | $165.92 | |
Providence
| Professional | $81.48 | $81.48 | $88.11 | |
United
| Professional | $36.02 | $36.02 | $36.02 |