| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.12 | $0.12 | $0.21 | |
Aetna
| Professional | $0.12 | $0.12 | $12.00 | |
Cigna
| Professional | $1.00 | $1.00 | $27.26 | |
Lucent Health
| Facility | $90.00 | $100.00 | $100.00 | |
Lucent Health
| Professional | $23.34 | $23.34 | $23.34 |