| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $16.60 | $16.60 | $20.42 | |
Lucent Health
| Facility | $89.13 | $89.13 | $100.00 | |
Lucent Health
| Professional | $109.65 | $109.65 | $131.83 | |
Molina
| Professional | $17.78 | $17.78 | $17.78 | |
United
| Professional | $16.60 | $22.39 | $39.81 |