| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.58 | $13.58 | $23.77 | |
Aetna
| Professional | $11.94 | $13.58 | $14.27 | |
Cigna
| Professional | $2.47 | $2.47 | $2.47 | |
Lucent Health
| Facility | $33.07 | $90.00 | $90.00 | |
United
| Professional | $5.42 | $13.20 | $25.56 |