| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.90 | $389.05 | $549.54 | |
Aetna
| Professional | $30.20 | $30.90 | $30.90 | |
Cigna
| Facility | $31.62 | $31.62 | $31.62 | |
Cigna
| Professional | $31.62 | $31.62 | $31.62 | |
Lucent Health
| Facility | $199.53 | $199.53 | $199.53 | |
Lucent Health
| Professional | $251.19 | $251.19 | $251.19 | |
United
| Professional | $35.48 | $38.02 | $38.02 |