| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $58.69 | $70.20 | $102.71 | |
Aetna
| Professional | $57.59 | $69.00 | $79.23 | |
Cigna
| Professional | $65.77 | $65.77 | $65.77 | |
Lucent Health
| Facility | $123.28 | $368.27 | $368.27 | |
Lucent Health
| Professional | $472.57 | $472.57 | $596.25 | |
United
| Professional | $71.78 | $85.54 | $169.95 |