| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.84 | $30.20 | $52.48 | |
Aetna
| Professional | $15.14 | $28.84 | $33.88 | |
Cigna
| Professional | $16.22 | $16.22 | $16.22 | |
Lucent Health
| Facility | $169.82 | $169.82 | $169.82 | |
United
| Facility | $28.84 | $36.31 | $36.31 | |
United
| Professional | $12.02 | $30.20 | $56.23 |