| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $162.41 | $191.76 | $219.59 | |
Cigna
| Professional | $184.50 | $184.50 | $184.50 | |
Lucent Health
| Professional | $1,338.62 | $1,338.62 | $1,683.30 | |
United
| Professional | $201.18 | $244.51 | $478.10 |