| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.54 | $70.79 | $102.33 | |
Aetna
| Professional | $57.54 | $64.57 | $81.28 | |
Cigna
| Professional | $66.07 | $66.07 | $66.07 | |
Lucent Health
| Facility | $467.74 | $467.74 | $467.74 | |
Lucent Health
| Professional | $467.74 | $602.56 | $602.56 | |
United
| Professional | $67.61 | $87.10 | $138.04 |