| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $458.98 | $3,486.19 | $7,602.00 | |
Cigna
| Facility | $493.65 | $619.91 | $733.32 | |
Lucent Health
| Facility | $2,433.53 | $2,948.77 | $3,033.47 | |
United
| Facility | $695.00 | $1,560.00 | $2,914.00 |