| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $66.07 | $95.50 | $199.53 | |
Aetna
| Professional | $61.66 | $75.86 | $100.00 | |
Cigna
| Facility | $64.57 | $64.57 | $64.57 | |
Cigna
| Professional | $29.51 | $57.54 | $85.11 | |
Lucent Health
| Facility | $158.49 | $158.49 | $158.49 | |
Lucent Health
| Professional | $158.49 | $457.09 | $457.09 | |
United
| Professional | $38.02 | $50.12 | $89.13 |