| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $84.49 | $84.49 | $397.09 | |
Aetna
| Professional | $84.48 | $84.49 | $84.49 | |
Cigna
| Facility | $92.77 | $92.77 | $92.77 | |
Cigna
| Professional | $92.77 | $92.77 | $92.77 | |
Lucent Health
| Facility | $143.51 | $275.97 | $372.75 | |
United
| Professional | $82.83 | $91.37 | $130.53 |