| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $134.91 | $154.96 | $179.76 | |
Cigna
| Professional | $154.15 | $154.15 | $154.15 | |
Lucent Health
| Professional | $1,090.08 | $1,090.08 | $1,412.25 | |
United
| Professional | $162.74 | $197.42 | $371.57 |