| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $906.54 | $906.54 | $906.54 | |
Cigna
| Professional | $510.39 | $564.96 | $652.27 | |
Lucent Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Professional | $149.68 | $212.76 | $252.29 |