| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.47 | $68.63 | $119.16 | |
Aetna
| Professional | $51.47 | $63.78 | $82.04 | |
Aetna
| Professional | 25 | $14.48 | $70.06 | $76.20 |
Cigna
| Professional | $87.16 | $96.41 | $116.79 | |
Lucent Health
| Facility | $158.83 | $370.69 | $370.69 | |
United
| Professional | $59.55 | $75.30 | $150.47 |