| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $22.39 | $24.55 | $30.90 | |
Lucent Health
| Facility | $100.00 | $100.00 | $100.00 | |
Lucent Health
| Professional | $89.13 | $89.13 | $89.13 | |
United
| Professional | $11.22 | $13.80 | $18.20 |