| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.00 | $20.00 | $35.00 | |
Aetna
| Professional | $20.00 | $20.00 | $20.00 | |
Cigna
| Professional | $18.70 | $18.70 | $18.70 | |
Lucent Health
| Facility | $100.00 | $100.00 | $170.00 | |
Lucent Health
| Professional | $61.00 | $61.00 | $61.00 |