| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3.98 | $6.03 | $7.94 | |
Cigna
| Facility | $12.88 | $12.88 | $12.88 | |
Cigna
| Professional | $6.92 | $6.92 | $6.92 | |
Lucent Health
| Facility | $89.13 | $89.13 | $89.13 | |
Lucent Health
| Professional | $69.18 | $70.79 | $70.79 | |
United
| Professional | $3.63 | $4.79 | $6.76 |