| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $147.91 | $147.91 | $162.18 | |
Cigna
| Facility | $199.53 | $588.84 | $812.83 | |
Cigna
| Professional | $275.42 | $275.42 | $346.74 | |
Lucent Health
| Facility | $3,090.30 | $3,090.30 | $3,090.30 |