| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.76 | $27.76 | $59.76 | |
Aetna
| Professional | $27.34 | $31.92 | $36.22 | |
Cigna
| Professional | $33.04 | $47.26 | $67.88 | |
Lucent Health
| Facility | $157.44 | $170.86 | $486.98 | |
Lucent Health
| Professional | $589.67 | $589.67 | $589.67 | |
United
| Professional | $32.54 | $39.04 | $81.48 |