| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.86 | $24.86 | $41.02 | |
Aetna
| Professional | $24.85 | $24.86 | $24.86 | |
Cigna
| Facility | $27.44 | $27.44 | $27.44 | |
Cigna
| Professional | $27.44 | $27.44 | $27.44 | |
Lucent Health
| Facility | $35.75 | $90.00 | $109.69 | |
United
| Professional | $27.79 | $27.79 | $32.79 |