| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.99 | $61.70 | $87.98 | |
Aetna
| Professional | $48.08 | $49.62 | $62.13 | |
Cigna
| Facility | $85.00 | $85.00 | $85.00 | |
Cigna
| Professional | $62.13 | $83.93 | $120.35 | |
Lucent Health
| Facility | $101.53 | $381.00 | $381.00 | |
Lucent Health
| Professional | $342.83 | $342.83 | $446.93 | |
United
| Professional | $67.23 | $73.09 | $81.36 |