| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $817.50 | $866.55 | $1,021.88 | |
Lucent Health
| Facility | $955.37 | $1,065.60 | $1,065.60 | |
Lucent Health
| Professional | $2,137.79 | $2,201.90 | $2,201.90 | |
Providence
| Professional | $2,250,000.00 | $2,250,000.00 | $2,400,000.00 |