| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $89.25 | $123.38 | $142.36 | |
Cigna
| Professional | $109.51 | $109.51 | $109.51 | |
Lucent Health
| Professional | $787.82 | $787.82 | $1,002.90 | |
United
| Professional | $116.90 | $143.04 | $281.76 |