| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.93 | $69.30 | $101.38 | |
Aetna
| Professional | $57.50 | $65.98 | $76.51 | |
Cigna
| Professional | $66.06 | $66.06 | $66.06 | |
Lucent Health
| Facility | $125.69 | $378.53 | $378.53 | |
Lucent Health
| Professional | $472.20 | $472.20 | $609.23 | |
United
| Professional | $69.73 | $84.51 | $159.65 |