| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $252.96 | $252.96 | $252.96 | |
Aetna
| Professional | $164.51 | $250.48 | $275.27 | |
Cigna
| Professional | $232.88 | $232.88 | $356.25 | |
Lucent Health
| Facility | $457.65 | $1,541.69 | $1,597.90 | |
United
| Professional | $248.70 | $315.26 | $549.10 |