| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.45 | $34.90 | $51.48 | |
Aetna
| Professional | $31.19 | $31.20 | $44.30 | |
Cigna
| Facility | $33.14 | $33.14 | $33.14 | |
Cigna
| Professional | $33.14 | $33.14 | $33.14 | |
Lucent Health
| Facility | $37.17 | $100.00 | $127.88 | |
United
| Professional | $29.99 | $33.89 | $35.70 |