| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $79.04 | $96.95 | $177.75 | |
Aetna
| Professional | $78.20 | $96.95 | $129.47 | |
Cigna
| Professional | $122.98 | $154.19 | $177.71 | |
Lucent Health
| Facility | $282.86 | $642.87 | $642.87 | |
United
| Professional | $86.20 | $114.69 | $211.73 |