| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $312.08 | $312.08 | $328.72 | |
Aetna
| Professional | $145.58 | $312.08 | $379.76 | |
Cigna
| Facility | $38.00 | $38.00 | $64.00 | |
Cigna
| Professional | $66.81 | $66.81 | $66.81 | |
Lucent Health
| Facility | $76.00 | $80.00 | $80.00 | |
United
| Professional | $15.45 | $19.30 | $30.90 |