| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $74.83 | $79.97 | $130.94 | |
Aetna
| Professional | $54.95 | $74.18 | $87.15 | |
Cigna
| Professional | $65.77 | $65.77 | $65.77 | |
Lucent Health
| Facility | $123.28 | $368.27 | $368.27 | |
Lucent Health
| Professional | $472.57 | $472.57 | $596.25 | |
United
| Professional | $72.26 | $84.26 | $159.12 |