| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $830.94 | $973.30 | $1,232.50 | |
Lucent Health
| Facility | $632.03 | $4,137.00 | $26,542.00 | |
Lucent Health
| Professional | $1,382.15 | $1,525.77 | $1,525.77 | |
United
| Professional | $245.46 | $340.78 | $487.39 |