| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $504.27 | $534.84 | $668.55 | |
Lucent Health
| Facility | $1,075.38 | $1,667.93 | $1,755.72 | |
Lucent Health
| Professional | $2,194.65 | $2,194.65 | $2,194.65 | |
United
| Professional | $263.36 | $361.26 | $602.10 |