| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $314.70 | $314.70 | $314.70 | |
Aetna
| Professional | $204.66 | $311.62 | $342.47 | |
Cigna
| Professional | $289.52 | $289.52 | $443.25 | |
Lucent Health
| Facility | $569.27 | $1,918.67 | $1,988.64 | |
United
| Professional | $264.74 | $364.00 | $813.27 |