| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $54.52 | $67.18 | $122.76 | |
Aetna
| Professional | $54.89 | $68.20 | $83.46 | |
Cigna
| Professional | $83.46 | $101.91 | $123.46 | |
Lucent Health
| Facility | $175.29 | $403.04 | $403.04 | |
United
| Professional | $65.27 | $85.17 | $183.60 |