| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $50.12 | $56.23 | $85.11 | |
Cigna
| Facility | $97.72 | $97.72 | $97.72 | |
Cigna
| Professional | $61.66 | $81.28 | $125.89 | |
Lucent Health
| Facility | $407.38 | $407.38 | $407.38 | |
Lucent Health
| Professional | $407.38 | $407.38 | $407.38 | |
United
| Professional | $54.95 | $74.13 | $114.82 |