| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $312.08 | $312.08 | $328.72 | |
Aetna
| Professional | $240.63 | $313.32 | $379.76 | |
Cigna
| Facility | $43.07 | $43.07 | $64.00 | |
Cigna
| Professional | $34.33 | $558.75 | $709.61 | |
Lucent Health
| Facility | $76.00 | $80.00 | $100.00 | |
United
| Professional | $15.81 | $26.59 | $41.30 |