| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $93.43 | $100.14 | $165.23 | |
Aetna
| Professional | $100.14 | $100.14 | $130.18 | |
Cigna
| Facility | $106.62 | $106.62 | $106.62 | |
Cigna
| Professional | $106.62 | $106.62 | $106.62 | |
Lucent Health
| Facility | $108.10 | $227.58 | $414.53 | |
United
| Facility | $97.11 | $97.11 | $97.11 | |
United
| Professional | $96.60 | $109.16 | $115.46 |