| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $183.50 | $196.09 | $321.13 | |
Aetna
| Professional | $124.13 | $183.50 | $236.86 | |
Cigna
| Professional | $191.36 | $191.36 | $191.36 | |
Lucent Health
| Facility | $460.10 | $1,313.52 | $1,313.52 | |
United
| Professional | $216.59 | $259.91 | $588.52 |