| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $831.76 | $870.96 | $1,445.44 | |
Aetna
| Professional | $549.54 | $831.76 | $1,047.13 | |
Cigna
| Facility | $9.77 | $52.48 | $77.62 | |
Cigna
| Professional | $72.44 | $4,365.16 | $5,128.61 | |
Lucent Health
| Facility | $199.53 | $199.53 | $199.53 | |
United
| Facility | $58.88 | $77.62 | $2,454.71 | |
United
| Professional | $40.74 | $81.28 | $162.18 |