| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.82 | $14.82 | $14.82 | |
Aetna
| Professional | $14.82 | $14.82 | $20.00 | |
Cigna
| Professional | $4.38 | $4.38 | $4.38 | |
Lucent Health
| Facility | $64.00 | $856.80 | $856.80 | |
Lucent Health
| Professional | $86.76 | $86.76 | $86.76 | |
United
| Professional | $3.75 | $5.05 | $8.90 |