| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.22 | $30.22 | $52.89 | |
Aetna
| Professional | $26.58 | $30.22 | $31.76 | |
Cigna
| Professional | $21.60 | $21.60 | $21.60 | |
Lucent Health
| Facility | $73.63 | $169.74 | $172.28 | |
United
| Professional | $12.06 | $29.39 | $60.33 |