| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.74 | $45.71 | $53.70 | |
Aetna
| Professional | $33.88 | $48.98 | $64.57 | |
Cigna
| Facility | $57.54 | $57.54 | $57.54 | |
Cigna
| Professional | $38.90 | $46.77 | $100.00 | |
Lucent Health
| Facility | $123.03 | $331.13 | $331.13 | |
United
| Professional | $44.67 | $61.66 | $112.20 |