| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $55.68 | $83.52 | $115.26 | |
Aetna
| Professional | $50.84 | $55.99 | $62.24 | |
Cigna
| Facility | $49.22 | $49.22 | $49.22 | |
Cigna
| Professional | $49.22 | $49.22 | $49.22 | |
Lucent Health
| Facility | $95.14 | $316.83 | $328.37 | |
United
| Professional | $6.49 | $16.22 | $20.28 |