| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $201.18 | $241.74 | $398.87 | |
Aetna
| Professional | $241.74 | $241.74 | $265.91 | |
Cigna
| Facility | $265.58 | $265.58 | $265.58 | |
Cigna
| Professional | $265.58 | $265.58 | $265.58 | |
Lucent Health
| Facility | $270.18 | $738.05 | $1,006.31 | |
United
| Professional | $237.13 | $267.95 | $286.93 |