| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $83.18 | $95.50 | $104.71 | |
Lucent Health
| Facility | $575.44 | $575.44 | $575.44 | |
Lucent Health
| Professional | $234.42 | $398.11 | $398.11 | |
United
| Professional | $89.13 | $97.72 | $104.71 |