| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.13 | $22.56 | $9,367.21 | |
Aetna
| Professional | $21.70 | $22.56 | $29.57 | |
Cigna
| Professional | $34.94 | $34.94 | $34.94 | |
Lucent Health
| Facility | $86.97 | $241.16 | $241.16 | |
United
| Professional | $17.32 | $25.98 | $39.54 |