| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $60.08 | $60.08 | $118.96 | |
Aetna
| Professional | $57.90 | $60.08 | $61.52 | |
Cigna
| Facility | $61.52 | $61.52 | $61.52 | |
Cigna
| Professional | $61.52 | $61.52 | $61.52 | |
Lucent Health
| Facility | $114.61 | $144.76 | $271.43 | |
Lucent Health
| Professional | $477.55 | $477.55 | $477.55 | |
United
| Professional | $55.49 | $60.32 | $60.32 |