| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.42 | $32.35 | $51.84 | |
Aetna
| Professional | $32.35 | $32.35 | $43.20 | |
Cigna
| Facility | $35.25 | $35.25 | $35.25 | |
Cigna
| Professional | $35.25 | $35.25 | $35.25 | |
Lucent Health
| Facility | $41.51 | $100.00 | $133.13 | |
United
| Professional | $31.47 | $35.56 | $37.61 |