| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.38 | $14.38 | $25.17 | |
Aetna
| Professional | $12.64 | $14.38 | $15.11 | |
Cigna
| Professional | $10.19 | $10.19 | $10.19 | |
Lucent Health
| Facility | $50.00 | $126.48 | $158.10 | |
United
| Professional | $5.74 | $13.37 | $28.66 |