| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $141.47 | $186.53 | $307.77 | |
Aetna
| Professional | $175.00 | $195.83 | $215.41 | |
Cigna
| Facility | $215.17 | $215.17 | $215.17 | |
Cigna
| Professional | $215.17 | $215.17 | $215.17 | |
Lucent Health
| Facility | $208.48 | $438.90 | $783.90 | |
United
| Professional | $192.12 | $217.10 | $230.39 |