| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $187.22 | $187.22 | $187.22 | |
Aetna
| Professional | $121.76 | $185.39 | $203.74 | |
Cigna
| Professional | $172.39 | $172.39 | $263.63 | |
Lucent Health
| Facility | $338.59 | $1,141.64 | $1,183.27 | |
United
| Professional | $165.93 | $211.09 | $400.18 |