| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.41 | $38.79 | $86.85 | |
Aetna
| Professional | $20.00 | $20.00 | $32.94 | |
Cigna
| Facility | $22.10 | $22.10 | $22.10 | |
Cigna
| Professional | $22.10 | $22.10 | $22.10 | |
Lucent Health
| Facility | $27.04 | $90.00 | $100.00 | |
United
| Professional | $22.35 | $22.35 | $26.37 |