| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.00 | $280.00 | $280.00 | |
Aetna
| Professional | $30.00 | $42.42 | $280.00 | |
Cigna
| Professional | $126.00 | $207.00 | $336.00 | |
Lucent Health
| Facility | $82.00 | $82.00 | $82.00 | |
Lucent Health
| Professional | $901.12 | $901.12 | $1,920.00 | |
United
| Professional | $40.00 | $56.00 | $88.99 |