| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $288.83 | $361.05 | $839.94 | |
Lucent Health
| Facility | $1,433.01 | $2,222.62 | $2,339.60 | |
Lucent Health
| Professional | $2,924.50 | $2,924.50 | $2,924.50 | |
United
| Facility | $233.96 | $292.45 | $401.38 |