| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $103.20 | $110.28 | $180.60 | |
Aetna
| Professional | $73.73 | $103.20 | $119.88 | |
Cigna
| Professional | $92.55 | $92.55 | $92.55 | |
Lucent Health
| Facility | $175.75 | $529.32 | $529.32 | |
Lucent Health
| Professional | $661.36 | $661.36 | $852.30 | |
United
| Professional | $98.03 | $118.83 | $203.60 |