| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $830.00 | $1,079.00 | $1,643.40 | |
Aetna
| Professional | $800.00 | $830.00 | $830.00 | |
Cigna
| Facility | $212.00 | $212.00 | $212.00 | |
Cigna
| Professional | $212.00 | $212.00 | $212.00 | |
Lucent Health
| Facility | $850.00 | $850.00 | $1,000.00 | |
United
| Professional | $212.00 | $212.00 | $600.00 |