| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.16 | $93.00 | $372.20 | |
Aetna
| Professional | $12.16 | $15.10 | $20.59 | |
Cigna
| Facility | $17.32 | $17.32 | $17.32 | |
Cigna
| Professional | $17.32 | $17.32 | $17.32 | |
Lucent Health
| Facility | $40.49 | $115.57 | $115.57 | |
Lucent Health
| Professional | $136.72 | $136.72 | $178.20 | |
United
| Professional | $19.36 | $20.38 | $20.38 |