| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $73.86 | $78.93 | $129.26 | |
Aetna
| Professional | $52.54 | $73.86 | $85.30 | |
Cigna
| Professional | $66.06 | $66.06 | $66.06 | |
Lucent Health
| Facility | $125.69 | $378.53 | $378.53 | |
Lucent Health
| Professional | $472.20 | $472.20 | $609.23 | |
United
| Professional | $69.73 | $85.56 | $173.94 |