| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.94 | $11.94 | $20.90 | |
Aetna
| Professional | $10.50 | $11.94 | $12.55 | |
Cigna
| Professional | $5.95 | $5.95 | $5.95 | |
Lucent Health
| Facility | $29.09 | $85.00 | $85.00 | |
United
| Professional | $4.76 | $11.10 | $23.82 |