| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $86.94 | $109.54 | $189.44 | |
Aetna
| Professional | $87.28 | $87.28 | $105.20 | |
Cigna
| Facility | $87.28 | $87.28 | $87.28 | |
Cigna
| Professional | $87.28 | $87.28 | $87.28 | |
Lucent Health
| Facility | $112.80 | $393.25 | $436.40 | |
United
| Professional | $87.28 | $87.28 | $90.05 |