| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.69 | $1.69 | $2.96 | |
Aetna
| Professional | $1.69 | $1.69 | $2.96 | |
Cigna
| Professional | $1.89 | $1.89 | $1.89 | |
Lucent Health
| Facility | $90.00 | $100.00 | $100.00 | |
Lucent Health
| Professional | $5.14 | $5.14 | $5.14 |