| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.81 | $111.00 | $751.54 | |
Aetna
| Professional | $73.79 | $73.79 | $103.30 | |
Cigna
| Facility | $93.78 | $93.78 | $93.78 | |
Cigna
| Professional | $93.78 | $93.78 | $93.78 | |
Lucent Health
| Facility | $95.99 | $316.18 | $316.18 | |
United
| Professional | $84.94 | $84.94 | $100.23 |