| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $206.36 | $220.52 | $361.13 | |
Aetna
| Professional | $139.59 | $206.36 | $294.67 | |
Cigna
| Professional | $238.10 | $238.10 | $238.10 | |
Lucent Health
| Facility | $572.55 | $1,634.57 | $1,634.57 | |
United
| Professional | $234.60 | $343.47 | $734.84 |