| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $95.91 | $111.57 | $127.67 | |
Cigna
| Professional | $109.51 | $109.51 | $109.51 | |
Lucent Health
| Professional | $787.82 | $787.82 | $1,002.90 | |
United
| Professional | $117.26 | $142.22 | $257.60 |