| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.09 | $44.39 | $2,248.71 | |
Aetna
| Professional | $31.08 | $31.09 | $32.02 | |
Cigna
| Facility | $20.41 | $20.41 | $20.41 | |
Cigna
| Professional | $20.41 | $20.41 | $20.41 | |
Lucent Health
| Facility | $75.00 | $257.50 | $257.50 | |
United
| Professional | $34.68 | $34.68 | $51.00 |