| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $2,187.76 | $3,162.28 | $3,981.07 | |
Lucent Health
| Facility | $2,818.38 | $2,818.38 | $22,908.68 | |
Lucent Health
| Professional | $4,168.69 | $4,168.69 | $4,365.16 | |
United
| Facility | $1,071.52 | $2,290.87 | $3,162.28 | |
United
| Professional | $758.58 | $1,071.52 | $1,513.56 |