| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $529.89 | $692.35 | $1,160.49 | |
Aetna
| Professional | $529.89 | $529.89 | $644.41 | |
Cigna
| Facility | $529.89 | $529.89 | $529.89 | |
Cigna
| Professional | $529.89 | $529.89 | $529.89 | |
Lucent Health
| Facility | $697.78 | $2,622.85 | $2,649.45 | |
United
| Professional | $529.89 | $529.89 | $529.89 |