| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,742.95 | $1,742.95 | $3,180.83 | |
Lucent Health
| Facility | $55.00 | $55.00 | $5,263.23 | |
Lucent Health
| Professional | $8,229.42 | $9,923.04 | $9,923.04 | |
Providence
| Facility | $3,372.33 | $3,372.33 | $3,372.33 | |
Providence
| Professional | $1,210.54 | $2,320.08 | $3,762.38 |