| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.30 | $2,311.00 | $7,602.00 | |
Aetna
| Professional | $40.00 | $122.00 | $276.35 | |
Cigna
| Facility | $21.16 | $24.99 | $92.22 | |
Lucent Health
| Professional | $167.00 | $167.00 | $167.00 |