| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.70 | $56.31 | $92.23 | |
Aetna
| Professional | $38.47 | $51.55 | $58.48 | |
Cigna
| Professional | $44.04 | $44.04 | $44.04 | |
Lucent Health
| Facility | $84.12 | $246.06 | $246.06 | |
Lucent Health
| Professional | $332.57 | $332.57 | $398.63 | |
United
| Professional | $50.10 | $60.64 | $109.96 |