| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $224.00 | $224.00 | $224.00 | |
Cigna
| Facility | $134.02 | $409.17 | $573.78 | |
Lucent Health
| Professional | $3,335.23 | $3,335.23 | $3,335.23 | |
Providence
| Facility | $133.52 | $393.33 | $573.78 |