| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.00 | $14.00 | $159.80 | |
Aetna
| Professional | $5.00 | $13.00 | $80.00 | |
Cigna
| Professional | $8.26 | $10.90 | $16.18 | |
Lucent Health
| Facility | $20.35 | $80.00 | $85.00 | |
United
| Professional | $11.07 | $13.07 | $23.67 |