| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $183.16 | $183.16 | $320.52 | |
Aetna
| Professional | $176.54 | $183.16 | $187.57 | |
Cigna
| Facility | $157.37 | $187.57 | $215.20 | |
Cigna
| Professional | $187.57 | $187.57 | $187.57 | |
Lucent Health
| Facility | $203.53 | $784.20 | $803.40 | |
Lucent Health
| Professional | $790.40 | $814.11 | $964.08 | |
United
| Facility | $219.68 | $219.68 | $219.68 |