| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $346.74 | $398.11 | $436.52 | |
Lucent Health
| Facility | $1,698.24 | $1,698.24 | $1,698.24 | |
Lucent Health
| Professional | $3,235.94 | $3,235.94 | $3,235.94 | |
United
| Professional | $323.59 | $354.81 | $363.08 |