| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $216.92 | $216.92 | $357.92 | |
Aetna
| Professional | $216.91 | $216.92 | $216.92 | |
Cigna
| Facility | $238.19 | $238.19 | $238.19 | |
Cigna
| Professional | $238.19 | $238.19 | $238.19 | |
Lucent Health
| Facility | $266.02 | $754.02 | $754.02 | |
United
| Professional | $219.05 | $247.53 | $258.48 |