| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $228.45 | $239.86 | $376.94 | |
Aetna
| Professional | $239.86 | $239.86 | $239.86 | |
Cigna
| Facility | $263.38 | $263.38 | $263.38 | |
Cigna
| Professional | $263.38 | $263.38 | $263.38 | |
Lucent Health
| Facility | $306.39 | $537.52 | $924.60 | |
United
| Professional | $235.16 | $265.73 | $282.19 |