| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.02 | $2.02 | $3.55 | |
Aetna
| Professional | $2.02 | $2.02 | $2.02 | |
Cigna
| Professional | $93.87 | $93.87 | $93.87 | |
Lucent Health
| Facility | $100.00 | $100.00 | $174.25 | |
Lucent Health
| Professional | $108.93 | $108.93 | $108.93 |