| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.57 | $46.67 | $61.57 | |
Aetna
| Professional | $30.57 | $30.57 | $39.74 | |
Cigna
| Facility | $33.71 | $33.71 | $33.71 | |
Cigna
| Professional | $33.71 | $33.71 | $33.71 | |
Lucent Health
| Facility | $39.86 | $90.00 | $134.88 | |
United
| Professional | $34.17 | $35.97 | $40.32 |