| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $222.26 | $257.99 | $425.68 | |
Aetna
| Professional | $257.99 | $257.99 | $335.38 | |
Cigna
| Facility | $253.60 | $253.60 | $253.60 | |
Cigna
| Professional | $253.60 | $253.60 | $253.60 | |
Lucent Health
| Facility | $279.89 | $543.14 | $1,018.39 | |
United
| Professional | $257.99 | $271.57 | $304.43 |