| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $138.04 | $208.93 | $245.47 | |
Cigna
| Professional | $186.21 | $186.21 | $186.21 | |
Lucent Health
| Professional | $1,348.96 | $1,698.24 | $1,698.24 | |
United
| Professional | $190.55 | $245.47 | $389.05 |