| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $151.57 | $181.32 | $265.25 | |
Aetna
| Professional | $151.57 | $181.32 | $197.04 | |
Cigna
| Professional | $164.86 | $164.86 | $164.86 | |
Lucent Health
| Facility | $336.48 | $934.12 | $934.12 | |
United
| Professional | $186.49 | $254.42 | $425.01 |