| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.88 | $97.72 | $97.72 | |
Aetna
| Professional | $10.00 | $14.13 | $16.98 | |
Cigna
| Professional | $14.13 | $20.89 | $23.99 | |
Lucent Health
| Facility | $91.20 | $91.20 | $100.00 | |
United
| Professional | $12.30 | $20.89 | $38.90 |