| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.15 | $170.10 | $170.10 | |
Aetna
| Professional | $2.98 | $23.15 | $70.00 | |
Cigna
| Facility | $99.00 | $108.00 | $114.00 | |
Cigna
| Professional | $50.59 | $50.59 | $50.59 | |
Lucent Health
| Facility | $65.00 | $100.00 | $100.00 | |
Lucent Health
| Professional | $75.00 | $75.00 | $75.00 |