| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $3,890.45 | $3,890.45 | $4,677.35 | |
Lucent Health
| Facility | $7,079.46 | $7,079.46 | $7,079.46 | |
Lucent Health
| Professional | $13,182.57 | $13,182.57 | $13,182.57 | |
United
| Professional | $1,230.27 | $1,230.27 | $1,737.80 |