| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $34.28 | $36.34 | $45.43 | |
Lucent Health
| Facility | $90.00 | $195.75 | $195.75 | |
Providence
| Facility | $31.19 | $31.19 | $41.59 | |
Providence
| Professional | $23.04 | $29.92 | $32.90 |