| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $70.18 | $72.33 | $81.16 | |
Aetna
| Professional | $68.66 | $80.81 | $108.20 | |
Cigna
| Professional | $40.00 | $85.08 | $172.43 | |
Lucent Health
| Facility | $323.95 | $323.95 | $351.83 | |
Lucent Health
| Professional | $457.92 | $538.17 | $700.20 | |
Optum
| Professional | $276.82 | $276.82 | $276.82 | |
United
| Professional | $72.16 | $99.24 | $174.02 |