| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9.34 | $9.34 | $15.41 | |
Aetna
| Professional | $9.33 | $9.34 | $9.34 | |
Cigna
| Facility | $10.33 | $10.33 | $10.33 | |
Cigna
| Professional | $10.33 | $10.33 | $10.33 | |
Lucent Health
| Facility | $13.29 | $90.00 | $100.00 | |
United
| Professional | $10.44 | $10.44 | $12.32 |