| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.65 | $42.65 | $91.84 | |
Aetna
| Professional | $41.92 | $48.49 | $55.76 | |
Cigna
| Professional | $50.71 | $72.81 | $104.17 | |
Lucent Health
| Facility | $240.69 | $261.35 | $876.56 | |
Lucent Health
| Professional | $1,028.34 | $1,028.34 | $1,028.34 | |
United
| Professional | $50.34 | $60.08 | $125.36 |