| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.03 | $0.03 | $0.06 | |
Aetna
| Professional | $0.03 | $0.03 | $0.03 | |
Cigna
| Professional | $20.03 | $20.03 | $20.03 | |
Lucent Health
| Facility | $90.00 | $100.00 | $100.00 | |
Lucent Health
| Professional | $5.14 | $5.14 | $5.14 |