| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.91 | $53.73 | $13,516.80 | |
Aetna
| Professional | $29.91 | $29.91 | $31.41 | |
Cigna
| Facility | $29.91 | $29.91 | $29.91 | |
Cigna
| Professional | $29.91 | $29.91 | $29.91 | |
Lucent Health
| Facility | $75.00 | $135.06 | $135.06 | |
Lucent Health
| Professional | $135.06 | $135.06 | $135.06 | |
United
| Professional | $28.41 | $29.91 | $29.91 |