| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.49 | $29.49 | $51.61 | |
Aetna
| Professional | $25.94 | $29.49 | $30.99 | |
Cigna
| Professional | $29.14 | $29.14 | $29.14 | |
Lucent Health
| Facility | $71.86 | $165.67 | $168.15 | |
United
| Professional | $11.77 | $27.42 | $58.78 |