| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $125.76 | $166.28 | $481.74 | |
Aetna
| Professional | $125.76 | $156.63 | $203.63 | |
Aetna
| Professional | 25 | $240.88 | $240.88 | $240.88 |
Cigna
| Professional | $208.06 | $234.12 | $283.62 | |
Lucent Health
| Facility | $394.58 | $895.52 | $895.52 | |
United
| Professional | $114.26 | $181.73 | $369.53 |