| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $2,398.83 | $3,467.37 | $4,466.84 | |
Lucent Health
| Facility | $13,803.84 | $13,803.84 | $50,118.72 | |
Lucent Health
| Professional | $6,456.54 | $6,456.54 | $6,456.54 | |
United
| Facility | $1,071.52 | $2,290.87 | $3,162.28 | |
United
| Professional | $831.76 | $1,122.02 | $1,698.24 |