| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.00 | $5.00 | $39.03 | |
Aetna
| Professional | $3.00 | $5.00 | $19.05 | |
Cigna
| Professional | $7.23 | $10.08 | $16.01 | |
Lucent Health
| Facility | $25.88 | $70.00 | $70.00 | |
United
| Professional | $9.36 | $12.07 | $23.67 |