| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.02 | $0.02 | $0.02 | |
Aetna
| Professional | $0.02 | $0.02 | $0.02 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Lucent Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Professional | $8.50 | $11.46 | $20.81 |