| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67.61 | $67.61 | $120.23 | |
Aetna
| Professional | $58.88 | $67.61 | $87.10 | |
Cigna
| Professional | $35.48 | $35.48 | $35.48 | |
Lucent Health
| Facility | $64.57 | $100.00 | $100.00 | |
Lucent Health
| Professional | $95.50 | $95.50 | $95.50 |