| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $275.42 | $275.42 | $489.78 | |
Aetna
| Professional | $141.25 | $275.42 | $316.23 | |
Cigna
| Professional | $151.36 | $151.36 | $151.36 | |
Lucent Health
| Facility | $1,584.89 | $1,584.89 | $1,584.89 | |
United
| Facility | $269.15 | $338.84 | $338.84 | |
United
| Professional | $109.65 | $275.42 | $524.81 |