| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.39 | $14.39 | $25.18 | |
Aetna
| Professional | $14.39 | $14.39 | $14.39 | |
Cigna
| Facility | $2.02 | $2.02 | $2.02 | |
Cigna
| Professional | $2.02 | $2.02 | $2.02 | |
Lucent Health
| Facility | $80.00 | $100.00 | $100.00 | |
Lucent Health
| Professional | $9.08 | $9.08 | $10.76 |