| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.57 | $64.57 | $70.79 | |
Aetna
| Professional | $61.66 | $69.18 | $87.10 | |
Cigna
| Facility | $107.15 | $107.15 | $107.15 | |
Cigna
| Professional | $64.57 | $85.11 | $151.36 | |
Lucent Health
| Facility | $446.68 | $446.68 | $446.68 | |
Lucent Health
| Professional | $575.44 | $575.44 | $575.44 | |
Optum
| Professional | $60.26 | $95.50 | $134.90 | |
United
| Professional | $60.26 | $83.18 | $128.82 |