| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.67 | $55.02 | $76.58 | |
Aetna
| Professional | $31.67 | $31.67 | $49.08 | |
Cigna
| Facility | $32.76 | $32.76 | $32.76 | |
Cigna
| Professional | $32.76 | $32.76 | $32.76 | |
Lucent Health
| Facility | $46.47 | $100.00 | $121.46 | |
United
| Professional | $29.26 | $29.26 | $34.95 |