| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43.20 | $55.74 | $306.31 | |
Aetna
| Professional | $47.64 | $47.64 | $52.40 | |
Cigna
| Facility | $50.10 | $50.10 | $50.10 | |
Cigna
| Professional | $50.10 | $50.10 | $50.10 | |
Lucent Health
| Facility | $50.85 | $107.06 | $191.33 | |
United
| Professional | $44.73 | $50.54 | $53.53 |