| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $48.75 | $48.75 | $63.38 | |
Cigna
| Professional | $207.00 | $422.08 | $582.83 | |
Lucent Health
| Professional | $901.00 | $901.00 | $901.00 | |
United
| Professional | $542.00 | $542.00 | $542.00 |