| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $46.27 | $46.27 | $47.69 | |
Aetna
| Professional | $42.41 | $48.00 | $63.27 | |
Cigna
| Professional | $44.93 | $61.01 | $130.26 | |
Lucent Health
| Facility | $109.74 | $109.74 | $109.74 | |
Lucent Health
| Professional | $302.20 | $302.20 | $378.23 | |
United
| Professional | $45.53 | $59.15 | $121.75 |