| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.95 | $20.42 | $36.31 | |
Aetna
| Professional | $10.00 | $19.95 | $22.91 | |
Cigna
| Professional | $20.42 | $20.42 | $20.42 | |
Lucent Health
| Facility | $117.49 | $117.49 | $117.49 | |
United
| Facility | $19.95 | $25.12 | $25.12 | |
United
| Professional | $8.13 | $20.42 | $38.90 |