| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $28.73 | $35.90 | $64.40 | |
Lucent Health
| Facility | $40.51 | $302.58 | $302.58 | |
Lucent Health
| Professional | $173.28 | $173.28 | $173.28 | |
United
| Professional | $15.82 | $20.52 | $36.70 |