| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.99 | $36.39 | $1,543.37 | |
Aetna
| Professional | $30.32 | $30.32 | $33.86 | |
Cigna
| Facility | $24.71 | $30.32 | $30.32 | |
Cigna
| Professional | $30.32 | $30.32 | $30.32 | |
Lucent Health
| Facility | $392.55 | $1,527.75 | $1,527.75 | |
United
| Professional | $30.32 | $32.14 | $235.53 |