| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $96.81 | $115.81 | $169.42 | |
Aetna
| Professional | $94.77 | $112.99 | $129.47 | |
Cigna
| Professional | $107.43 | $107.43 | $107.43 | |
Lucent Health
| Facility | $201.04 | $601.19 | $601.19 | |
Lucent Health
| Professional | $768.84 | $768.84 | $973.43 | |
United
| Professional | $117.91 | $143.91 | $259.16 |