| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $338.02 | $338.02 | $591.54 | |
Aetna
| Professional | $297.35 | $338.02 | $355.26 | |
Cigna
| Professional | $170.00 | $170.00 | $170.00 | |
Lucent Health
| Facility | $633.94 | $1,898.77 | $1,927.17 | |
United
| Professional | $134.94 | $314.39 | $674.40 |