| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.50 | $7.50 | $13.13 | |
Aetna
| Professional | $7.50 | $7.50 | $7.50 | |
Cigna
| Professional | $4.37 | $4.37 | $4.37 | |
Lucent Health
| Facility | $90.00 | $100.00 | $100.00 | |
Lucent Health
| Professional | $11.00 | $11.00 | $11.00 |