| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $69.55 | $69.55 | $121.71 | |
Aetna
| Professional | $61.18 | $69.55 | $73.09 | |
Cigna
| Professional | $0.09 | $0.09 | $0.09 | |
Lucent Health
| Facility | $140.26 | $390.73 | $396.58 | |
United
| Professional | $27.76 | $69.01 | $130.85 |