| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $277.63 | $277.63 | $485.85 | |
Aetna
| Professional | $244.23 | $277.63 | $291.79 | |
Cigna
| Professional | $153.00 | $153.00 | $153.00 | |
Lucent Health
| Facility | $520.69 | $1,559.56 | $1,582.89 | |
United
| Professional | $110.83 | $269.88 | $553.96 |