| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $154.83 | $201.28 | $306.56 | |
Aetna
| Professional | $149.22 | $154.83 | $154.83 | |
Cigna
| Facility | $158.56 | $158.56 | $158.56 | |
Cigna
| Professional | $158.56 | $158.56 | $158.56 | |
Lucent Health
| Facility | $177.21 | $654.20 | $683.14 | |
United
| Professional | $138.32 | $155.44 | $155.44 |