| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $121.59 | $129.94 | $212.78 | |
Aetna
| Professional | $82.25 | $121.59 | $175.30 | |
Cigna
| Professional | $141.60 | $141.60 | $141.60 | |
Lucent Health
| Facility | $340.58 | $972.33 | $972.33 | |
United
| Professional | $138.75 | $168.17 | $435.46 |