| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,698.24 | $1,995.26 | $2,137.96 | |
Lucent Health
| Facility | $8,511.38 | $8,511.38 | $8,511.38 | |
Lucent Health
| Professional | $8,511.38 | $8,511.38 | $8,511.38 | |
United
| Professional | $1,659.59 | $1,862.09 | $1,995.26 |