| 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 | $64.00 | $95.00 | $95.00 | |
Cigna
| Professional | $71.76 | $4,077.00 | $5,177.79 | |
Lucent Health
| Facility | $100.00 | $199.28 | $199.28 | |
United
| Professional | $41.84 | $62.77 | $159.41 |