| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.78 | $13.26 | $13.58 | |
Cigna
| Facility | $13.58 | $13.58 | $85.00 | |
Cigna
| Professional | $13.58 | $13.58 | $13.58 | |
Lucent Health
| Facility | $75.00 | $85.00 | $100.00 | |
Lucent Health
| Professional | $55.93 | $60.72 | $71.91 | |
United
| Professional | $1.44 | $1.93 | $2.65 |