| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.48 | $56.23 | $93.33 | |
Aetna
| Professional | $34.67 | $50.12 | $60.26 | |
Cigna
| Professional | $42.66 | $42.66 | $42.66 | |
Lucent Health
| Facility | $338.84 | $338.84 | $338.84 | |
Lucent Health
| Professional | $338.84 | $389.05 | $389.05 | |
United
| Professional | $47.86 | $61.66 | $97.72 |