| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.83 | $20.83 | $36.45 | |
Aetna
| Professional | $20.83 | $20.83 | $20.83 | |
Cigna
| Facility | $55.00 | $65.00 | $95.00 | |
Lucent Health
| Facility | $65.00 | $100.00 | $100.00 | |
Lucent Health
| Professional | $272.97 | $272.97 | $272.97 |