| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $65.37 | $65.37 | $83.73 | |
Cigna
| Facility | $80.53 | $83.69 | $83.69 | |
Cigna
| Professional | $80.53 | $83.69 | $83.69 | |
Lucent Health
| Facility | $100.00 | $418.45 | $418.45 | |
United
| Professional | $37.90 | $94.74 | $94.74 |