| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $174.77 | $186.76 | $305.85 | |
Aetna
| Professional | $126.52 | $168.94 | $191.25 | |
Cigna
| Professional | $141.06 | $141.06 | $141.06 | |
Lucent Health
| Facility | $280.38 | $788.47 | $788.47 | |
Lucent Health
| Professional | $1,105.55 | $1,105.55 | $1,277.03 | |
United
| Professional | $165.30 | $187.67 | $363.10 |