| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.07 | $31.76 | $44.70 | |
Aetna
| Professional | $22.07 | $22.07 | $25.00 | |
Cigna
| Facility | $21.82 | $21.82 | $21.82 | |
Cigna
| Professional | $21.82 | $21.82 | $21.82 | |
Lucent Health
| Facility | $27.65 | $100.00 | $100.00 | |
United
| Professional | $19.72 | $22.28 | $23.98 |