| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $191.92 | $191.92 | $393.44 | |
Aetna
| Professional | $191.91 | $191.92 | $191.92 | |
Cigna
| Facility | $188.55 | $188.55 | $188.55 | |
Cigna
| Professional | $188.55 | $188.55 | $188.55 | |
Lucent Health
| Facility | $175.25 | $340.08 | $585.00 | |
United
| Professional | $168.35 | $168.35 | $202.02 |