| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.02 | $34.53 | $97.51 | |
Aetna
| Professional | $13.02 | $15.55 | $17.30 | |
Cigna
| Professional | $13.97 | $20.89 | $23.41 | |
Lucent Health
| Facility | $32.49 | $90.00 | $100.00 | |
United
| Professional | $12.82 | $21.83 | $40.51 |