| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $100.19 | $141.08 | $191.87 | |
Cigna
| Professional | $174.98 | $174.98 | $220.03 | |
Lucent Health
| Facility | $267.85 | $358.86 | $369.63 | |
Lucent Health
| Professional | $433.05 | $433.05 | $433.05 |