| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $112.20 | $169.82 | $194.98 | |
Cigna
| Professional | $154.88 | $154.88 | $154.88 | |
Lucent Health
| Professional | $1,096.48 | $1,412.54 | $1,412.54 | |
United
| Professional | $158.49 | $199.53 | $316.23 |