| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $49.26 | $57.03 | $71.81 | |
Cigna
| Facility | $72.36 | $72.36 | $72.36 | |
Cigna
| Professional | $62.61 | $84.64 | $126.06 | |
Lucent Health
| Facility | $139.00 | $139.00 | $309.13 | |
Lucent Health
| Professional | $404.24 | $404.24 | $404.24 | |
United
| Professional | $58.06 | $72.38 | $123.19 |