| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.25 | $66.56 | $109.82 | |
Aetna
| Professional | $66.56 | $66.56 | $97.05 | |
Cigna
| Facility | $70.36 | $70.36 | $70.36 | |
Cigna
| Professional | $70.36 | $70.36 | $70.36 | |
Lucent Health
| Facility | $80.00 | $149.58 | $272.63 | |
United
| Professional | $63.70 | $71.98 | $76.58 |