| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.00 | $5.00 | $8.75 | |
Aetna
| Professional | $3.00 | $5.00 | $12.00 | |
Cigna
| Professional | $7.95 | $20.20 | $25.64 | |
Lucent Health
| Facility | $35.14 | $86.97 | $86.97 | |
United
| Professional | $13.44 | $15.46 | $38.61 |