| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.04 | $4.04 | $7.07 | |
Aetna
| Professional | $4.00 | $4.04 | $4.75 | |
Cigna
| Professional | $2.98 | $2.98 | $2.98 | |
Lucent Health
| Facility | $90.00 | $100.00 | $100.00 | |
Lucent Health
| Professional | $11.23 | $11.23 | $11.23 |