| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $96.72 | $114.15 | $123.91 | |
Aetna
| Professional | $96.72 | $96.72 | $96.72 | |
Cigna
| Professional | $58.65 | $58.65 | $58.65 | |
Lucent Health
| Facility | $100.00 | $100.00 | $100.00 | |
Lucent Health
| Professional | $185.89 | $185.89 | $185.89 |