| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $41.96 | $62.94 | $30,272.24 | |
Aetna
| Professional | $41.98 | $41.98 | $50.77 | |
Cigna
| Facility | $41.28 | $41.98 | $41.98 | |
Cigna
| Professional | $41.98 | $41.98 | $41.98 | |
Lucent Health
| Facility | $75.00 | $209.90 | $209.90 | |
United
| Professional | $41.74 | $41.98 | $41.98 |