| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.35 | $32.35 | $56.61 | |
Aetna
| Professional | $29.01 | $32.35 | $34.07 | |
Cigna
| Professional | $25.50 | $25.50 | $25.50 | |
Lucent Health
| Facility | $76.70 | $184.63 | $196.98 | |
United
| Professional | $12.88 | $40.78 | $67.79 |