| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.68 | $69.81 | $203.63 | |
Aetna
| Professional | $31.68 | $36.99 | $42.16 | |
Cigna
| Professional | $38.18 | $55.44 | $79.42 | |
Lucent Health
| Facility | $178.64 | $477.89 | $505.63 | |
Lucent Health
| Professional | $685.57 | $685.57 | $685.57 | |
United
| Professional | $38.04 | $44.72 | $86.09 |