| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,840.85 | $2,156.21 | $2,730.45 | |
Lucent Health
| Facility | $1,346.51 | $8,444.70 | $26,542.00 | |
Lucent Health
| Professional | $4,124.46 | $4,124.46 | $4,124.46 | |
United
| Facility | $875.00 | $1,868.00 | $2,299.00 |