| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $218.78 | $269.15 | $630.96 | |
Lucent Health
| Facility | $1,659.59 | $1,659.59 | $1,659.59 | |
Lucent Health
| Professional | $2,187.76 | $2,187.76 | $2,187.76 | |
United
| Facility | $154.88 | $199.53 | $302.00 | |
United
| Professional | $234.42 | $302.00 | $478.63 |