| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,522.50 | $1,522.50 | $1,903.13 | |
Lucent Health
| Facility | $2,924.30 | $5,653.55 | $7,359.75 | |
Lucent Health
| Professional | $16,162.39 | $16,162.39 | $16,162.39 | |
Providence
| Professional | $1,175.42 | $1,584.67 | $2,310.98 |