| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,905.46 | $1,995.26 | $2,398.83 | |
Lucent Health
| Facility | $4,570.88 | $4,570.88 | $4,570.88 | |
Lucent Health
| Professional | $5,370.32 | $5,370.32 | $5,370.32 | |
United
| Facility | $19,054.61 | $19,054.61 | $26,915.35 | |
United
| Professional | $1,348.96 | $1,737.80 | $2,290.87 |