| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.21 | $54.62 | $386.54 | |
Aetna
| Professional | $30.08 | $31.21 | $31.21 | |
Cigna
| Facility | $31.96 | $31.96 | $31.96 | |
Cigna
| Professional | $31.96 | $31.96 | $31.96 | |
Lucent Health
| Facility | $55.26 | $143.07 | $143.07 | |
Lucent Health
| Professional | $251.75 | $251.75 | $251.75 | |
United
| Professional | $35.72 | $37.60 | $37.60 |