| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $153.41 | $209.87 | $244.26 | |
Cigna
| Professional | $184.50 | $184.50 | $184.50 | |
Lucent Health
| Professional | $1,338.62 | $1,338.62 | $1,683.30 | |
United
| Professional | $189.02 | $242.73 | $456.90 |