| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.05 | $21.69 | $120.28 | |
Aetna
| Professional | $14.05 | $14.05 | $19.66 | |
Cigna
| Facility | $14.75 | $14.75 | $14.75 | |
Cigna
| Professional | $14.75 | $14.75 | $14.75 | |
Lucent Health
| Facility | $32.99 | $100.00 | $100.00 | |
United
| Facility | $13.83 | $13.83 | $13.83 | |
United
| Professional | $13.29 | $13.29 | $15.95 |