| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.96 | $57.96 | $101.43 | |
Aetna
| Professional | $50.99 | $57.96 | $60.92 | |
Cigna
| Professional | $56.91 | $56.91 | $56.91 | |
Lucent Health
| Facility | $116.88 | $325.58 | $330.46 | |
United
| Professional | $23.14 | $56.31 | $115.59 |