| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $80.94 | $96.83 | $141.65 | |
Aetna
| Professional | $80.67 | $92.96 | $107.01 | |
Cigna
| Professional | $92.55 | $92.55 | $92.55 | |
Lucent Health
| Facility | $175.75 | $529.32 | $529.32 | |
Lucent Health
| Professional | $661.36 | $661.36 | $852.30 | |
United
| Professional | $98.03 | $112.36 | $214.64 |