| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.40 | $69.22 | $98.29 | |
Aetna
| Professional | $69.20 | $69.22 | $76.14 | |
Cigna
| Facility | $76.14 | $76.14 | $76.14 | |
Cigna
| Professional | $76.14 | $76.14 | $76.14 | |
Lucent Health
| Facility | $87.99 | $162.86 | $305.36 | |
United
| Facility | $71.38 | $71.38 | $71.38 | |
United
| Professional | $77.36 | $77.36 | $91.28 |