| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $4.90 | $4.90 | $6.03 | |
Lucent Health
| Facility | $100.00 | $100.00 | $100.00 | |
Lucent Health
| Professional | $23.44 | $23.44 | $23.44 | |
United
| Facility | $2.19 | $2.57 | $3.63 | |
United
| Professional | $2.57 | $2.75 | $3.24 |