| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.00 | $490.00 | $490.00 | |
Aetna
| Professional | $30.00 | $42.00 | $490.00 | |
Cigna
| Professional | $252.00 | $414.00 | $672.00 | |
Lucent Health
| Facility | $82.00 | $82.00 | $82.00 | |
Lucent Health
| Professional | $1,576.96 | $1,576.96 | $3,360.00 | |
United
| Professional | $40.00 | $58.00 | $89.76 |