| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.30 | $16.30 | $26.90 | |
Aetna
| Professional | $16.30 | $16.30 | $16.30 | |
Cigna
| Facility | $13.99 | $13.99 | $13.99 | |
Cigna
| Professional | $13.99 | $13.99 | $13.99 | |
Lucent Health
| Facility | $26.19 | $100.00 | $100.00 | |
United
| Professional | $13.38 | $13.38 | $15.79 |