| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $416.87 | $489.78 | $524.81 | |
Aetna
| Professional | $30.20 | $47.86 | $676.08 | |
Cigna
| Professional | $245.47 | $389.05 | $616.60 | |
Lucent Health
| Facility | $104.71 | $104.71 | $104.71 | |
Lucent Health
| Professional | $1,584.89 | $3,388.44 | $3,388.44 | |
United
| Professional | $39.81 | $54.95 | $85.11 |