| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $239.88 | $281.84 | $302.00 | |
Aetna
| Professional | $30.20 | $47.86 | $389.05 | |
Cigna
| Professional | $123.03 | $194.98 | $309.03 | |
Lucent Health
| Facility | $104.71 | $104.71 | $104.71 | |
Lucent Health
| Professional | $891.25 | $1,905.46 | $1,905.46 | |
United
| Professional | $39.81 | $54.95 | $85.11 |