| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $46.77 | $46.77 | $52.48 | |
Cigna
| Facility | $64.57 | $64.57 | $64.57 | |
Cigna
| Professional | $29.51 | $29.51 | $29.51 | |
Lucent Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Professional | $42.66 | $56.23 | $95.50 |