| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $117.55 | $193.96 | $193.96 | |
Aetna
| Professional | $117.55 | $141.40 | $172.89 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $33.15 | $335.72 | $477.70 | |
Lucent Health
| Facility | $100.00 | $100.00 | $100.00 | |
Lucent Health
| Professional | $661.43 | $661.43 | $661.43 |