| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $3,162.28 | $3,162.28 | $3,801.89 | |
Lucent Health
| Facility | $6,165.95 | $6,165.95 | $6,165.95 | |
Lucent Health
| Professional | $11,220.18 | $11,220.18 | $11,220.18 | |
Moda Health
| Professional | $2,511.89 | $2,511.89 | $2,511.89 | |
United
| Professional | $1,047.13 | $1,047.13 | $1,513.56 |