| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67.70 | $82.86 | $145.80 | |
Aetna
| Professional | $68.01 | $82.94 | $105.98 | |
Cigna
| Professional | $97.74 | $129.83 | $157.27 | |
Lucent Health
| Facility | $172.97 | $395.96 | $395.96 | |
United
| Professional | $69.68 | $104.91 | $178.58 |