| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.36 | $95.97 | $117.13 | |
Aetna
| Professional | $73.40 | $98.16 | $118.77 | |
Cigna
| Facility | $96.58 | $96.58 | $96.58 | |
Cigna
| Professional | $96.58 | $96.58 | $96.58 | |
Lucent Health
| Facility | $90.59 | $175.78 | $289.73 | |
United
| Professional | $86.23 | $97.44 | $103.33 |