| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $283.20 | $294.44 | $467.30 | |
Aetna
| Professional | $293.81 | $294.44 | $382.77 | |
Cigna
| Facility | $323.87 | $323.87 | $323.87 | |
Cigna
| Professional | $323.87 | $323.87 | $323.87 | |
Lucent Health
| Facility | $352.43 | $666.38 | $1,213.43 | |
United
| Professional | $289.17 | $326.76 | $346.40 |