| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $131.15 | $158.44 | $2,275.78 | |
Aetna
| Professional | $131.15 | $131.16 | $159.77 | |
Cigna
| Facility | $117.01 | $131.16 | $131.16 | |
Cigna
| Professional | $131.16 | $131.16 | $131.16 | |
Lucent Health
| Facility | $392.50 | $655.80 | $671.25 | |
United
| Professional | $131.16 | $139.03 | $267.57 |