| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $130.66 | $134.19 | $215.59 | |
Aetna
| Professional | $134.19 | $134.19 | $158.10 | |
Cigna
| Facility | $177.04 | $177.04 | $177.04 | |
Cigna
| Professional | $177.04 | $177.04 | $177.04 | |
Lucent Health
| Facility | $178.49 | $751.00 | $975.00 | |
United
| Professional | $134.19 | $151.63 | $195.02 |