| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $825.68 | $825.68 | $869.71 | |
Aetna
| Professional | $580.66 | $869.71 | $1,019.94 | |
Cigna
| Facility | $95.00 | $95.00 | $1,045.06 | |
Cigna
| Professional | $24.99 | $24.99 | $24.99 | |
Lucent Health
| Facility | $199.28 | $1,296.18 | $3,391.44 | |
Lucent Health
| Professional | $2,421.00 | $4,271.12 | $4,271.12 | |
United
| Professional | $41.84 | $77.62 | $189.85 |