| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $259.20 | $324.83 | $353.83 | |
Aetna
| Professional | $25.00 | $30.00 | $652.00 | |
Cigna
| Facility | $62.95 | $72.81 | $241.67 | |
Lucent Health
| Professional | $3,335.23 | $3,335.23 | $3,335.23 |