| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,230.27 | $1,819.70 | $2,290.87 | |
Lucent Health
| Facility | $8,511.38 | $8,511.38 | $50,118.72 | |
Lucent Health
| Professional | $4,265.80 | $4,265.80 | $4,265.80 | |
United
| Facility | $1,071.52 | $2,290.87 | $3,162.28 | |
United
| Professional | $436.52 | $588.84 | $870.96 |