| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $137.07 | $163.98 | $239.87 | |
Aetna
| Professional | $131.59 | $151.15 | $180.67 | |
Cigna
| Professional | $141.06 | $141.06 | $141.06 | |
Lucent Health
| Facility | $280.38 | $788.47 | $788.47 | |
Lucent Health
| Professional | $1,105.55 | $1,105.55 | $1,277.03 | |
United
| Professional | $165.84 | $194.03 | $365.02 |