| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $181.97 | $295.12 | $416.87 | |
Lucent Health
| Facility | $371.54 | $371.54 | $371.54 | |
Lucent Health
| Professional | $524.81 | $524.81 | $524.81 | |
United
| Professional | $79.43 | $104.71 | $151.36 |