| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $70.79 | $91.20 | $123.03 | |
Aetna
| Professional | $67.61 | $70.79 | $70.79 | |
Cigna
| Facility | $60.26 | $60.26 | $60.26 | |
Cigna
| Professional | $60.26 | $60.26 | $60.26 | |
Lucent Health
| Facility | $371.54 | $371.54 | $371.54 | |
United
| Professional | $70.79 | $70.79 | $72.44 |