| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.41 | $64.41 | $66.38 | |
Aetna
| Professional | $59.82 | $68.09 | $91.07 | |
Cigna
| Professional | $62.96 | $83.44 | $187.21 | |
Lucent Health
| Facility | $143.31 | $143.31 | $152.22 | |
Lucent Health
| Professional | $575.00 | $575.00 | $578.85 | |
Optum
| Professional | $60.00 | $95.00 | $135.36 | |
United
| Professional | $60.00 | $82.26 | $149.55 |