| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $65.89 | $149.50 | $246.68 | |
Aetna
| Professional | $156.97 | $156.97 | $156.97 | |
Cigna
| Facility | $172.37 | $172.37 | $172.37 | |
Cigna
| Professional | $172.37 | $172.37 | $172.37 | |
Lucent Health
| Facility | $200.50 | $351.76 | $628.16 | |
United
| Professional | $149.63 | $153.90 | $181.60 |