| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $156.16 | $162.97 | $257.66 | |
Aetna
| Professional | $162.97 | $162.97 | $188.95 | |
Cigna
| Facility | $190.27 | $203.81 | $203.81 | |
Cigna
| Professional | $203.81 | $203.81 | $203.81 | |
Lucent Health
| Facility | $299.86 | $662.03 | $662.03 | |
United
| Professional | $162.97 | $187.43 | $218.36 |