| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44.88 | $44.88 | $49.03 | |
Aetna
| Professional | $44.04 | $47.37 | $76.18 | |
Cigna
| Facility | $75.05 | $75.05 | $536.25 | |
Cigna
| Professional | $54.79 | $54.79 | $54.79 | |
Lucent Health
| Facility | $171.57 | $489.82 | $489.82 | |
Lucent Health
| Professional | $625.45 | $650.47 | $755.25 | |
United
| Professional | $38.54 | $52.66 | $92.55 |