| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $2,953.02 | $3,458.94 | $4,380.10 | |
Lucent Health
| Facility | $2,191.58 | $8,444.70 | $26,542.00 | |
Lucent Health
| Professional | $5,691.35 | $5,691.35 | $5,691.35 | |
United
| Facility | $1,072.50 | $1,072.50 | $1,072.50 |