| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $139.19 | $180.91 | $276.55 | |
Aetna
| Professional | $139.16 | $140.63 | $156.11 | |
Cigna
| Facility | $570.54 | $570.54 | $570.54 | |
Cigna
| Professional | $570.54 | $570.54 | $570.54 | |
Lucent Health
| Facility | $645.89 | $823.70 | $823.70 | |
United
| Professional | $549.01 | $645.89 | $645.89 |