| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.96 | $29.96 | $52.43 | |
Aetna
| Professional | $26.36 | $29.96 | $31.49 | |
Cigna
| Professional | $16.14 | $16.14 | $16.14 | |
Lucent Health
| Facility | $73.00 | $168.29 | $170.81 | |
United
| Professional | $11.96 | $27.85 | $56.34 |