| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.28 | $53.27 | $75.68 | |
Aetna
| Professional | $40.75 | $42.28 | $43.30 | |
Cigna
| Facility | $28.87 | $28.87 | $28.87 | |
Cigna
| Professional | $28.87 | $28.87 | $28.87 | |
Lucent Health
| Facility | $67.47 | $2,036.20 | $2,036.20 | |
Lucent Health
| Professional | $227.88 | $227.88 | $297.00 | |
United
| Professional | $38.50 | $40.53 | $45.12 |