| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.02 | $3.47 | $6.03 | |
Aetna
| Professional | $3.02 | $3.02 | $3.02 | |
Cigna
| Professional | $120.23 | $120.23 | $120.23 | |
Lucent Health
| Facility | $398.11 | $398.11 | $398.11 | |
United
| Facility | $63.10 | $63.10 | $63.10 |