| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.20 | $0.33 | $96.45 | |
Aetna
| Professional | $0.19 | $0.20 | $0.20 | |
Cigna
| Facility | $0.20 | $0.20 | $0.20 | |
Cigna
| Professional | $0.20 | $0.20 | $0.20 | |
Lucent Health
| Facility | $80.00 | $100.00 | $100.00 |