| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $124.25 | $172.02 | $197.42 | |
Cigna
| Professional | $154.15 | $154.15 | $154.15 | |
Lucent Health
| Professional | $1,090.08 | $1,090.08 | $1,412.25 | |
United
| Professional | $162.21 | $189.14 | $356.35 |