| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.68 | $52.68 | $104.31 | |
Aetna
| Professional | $50.78 | $52.68 | $52.68 | |
Cigna
| Facility | $53.95 | $53.95 | $53.95 | |
Cigna
| Professional | $53.95 | $53.95 | $53.95 | |
Lucent Health
| Facility | $75.00 | $937.78 | $937.78 | |
United
| Professional | $52.89 | $52.89 | $53.95 |