| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $157.00 | $157.00 | $274.75 | |
Aetna
| Professional | $157.00 | $157.00 | $157.00 | |
Cigna
| Professional | $24.99 | $24.99 | $24.99 | |
Lucent Health
| Facility | $90.00 | $100.00 | $100.00 | |
Lucent Health
| Professional | $242.05 | $242.05 | $251.73 |