| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.48 | $52.05 | $64.52 | |
Aetna
| Professional | $18.67 | $18.68 | $20.55 | |
Cigna
| Facility | $20.65 | $20.65 | $20.65 | |
Cigna
| Professional | $20.65 | $20.65 | $20.65 | |
Lucent Health
| Facility | $26.58 | $90.00 | $100.00 | |
United
| Professional | $20.88 | $20.88 | $24.64 |