| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $56.98 | $56.98 | $62.25 | |
Aetna
| Professional | $55.92 | $60.14 | $96.40 | |
Cigna
| Facility | $139.08 | $139.08 | $218.90 | |
Cigna
| Professional | $101.53 | $101.53 | $101.53 | |
Lucent Health
| Facility | $217.84 | $621.91 | $621.91 | |
Lucent Health
| Professional | $795.07 | $826.88 | $958.95 | |
United
| Professional | $43.90 | $65.98 | $119.09 |