| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $224.00 | $224.00 | $224.00 | |
Cigna
| Facility | $239.80 | $901.89 | $1,146.49 | |
Lucent Health
| Professional | $3,335.23 | $3,335.23 | $3,335.23 | |
Providence
| Facility | $177.65 | $481.15 | $1,203.82 |