| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43.70 | $43.70 | $47.75 | |
Aetna
| Professional | $42.89 | $46.13 | $74.13 | |
Cigna
| Facility | $69.84 | $69.84 | $83.05 | |
Cigna
| Professional | $50.99 | $50.99 | $69.84 | |
Lucent Health
| Facility | $167.08 | $477.00 | $477.00 | |
Lucent Health
| Professional | $611.32 | $635.77 | $735.45 | |
United
| Professional | $37.53 | $50.50 | $85.96 |