| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $57.54 | $64.57 | $104.71 | |
Cigna
| Facility | $112.20 | $112.20 | $112.20 | |
Cigna
| Professional | $70.79 | $93.33 | $144.54 | |
Lucent Health
| Facility | $467.74 | $467.74 | $467.74 | |
Lucent Health
| Professional | $467.74 | $467.74 | $467.74 | |
United
| Professional | $63.10 | $87.10 | $131.83 |