| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $25.70 | $25.70 | $25.70 | |
Cigna
| Professional | $30.20 | $36.31 | $45.71 | |
Lucent Health
| Facility | $194.98 | $194.98 | $194.98 | |
United
| Facility | $10.47 | $15.14 | $16.98 | |
United
| Professional | $11.22 | $19.05 | $23.99 |