| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $159.38 | $226.22 | $8,351.04 | |
Aetna
| Professional | $226.22 | $226.22 | $226.22 | |
Cigna
| Professional | $348.00 | $348.00 | $348.00 | |
Lucent Health
| Facility | $100.00 | $100.00 | $100.00 | |
Lucent Health
| Professional | $545.45 | $545.45 | $545.45 |