| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.00 | $700.00 | $700.00 | |
Aetna
| Professional | $30.00 | $42.00 | $700.00 | |
Cigna
| Professional | $378.00 | $621.00 | $1,008.00 | |
Lucent Health
| Facility | $82.00 | $82.00 | $82.00 | |
Lucent Health
| Professional | $2,252.80 | $2,252.80 | $4,800.00 | |
United
| Professional | $40.00 | $58.00 | $89.76 |