| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $45.71 | $51.29 | $58.88 | |
Lucent Health
| Facility | $100.00 | $100.00 | $100.00 | |
Lucent Health
| Professional | $89.13 | $89.13 | $89.13 | |
United
| Professional | $12.59 | $16.60 | $22.91 |