| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.09 | $16.85 | $24.66 | |
Aetna
| Professional | $14.09 | $16.68 | $18.59 | |
Cigna
| Professional | $15.77 | $15.77 | $15.77 | |
Lucent Health
| Facility | $31.07 | $89.51 | $89.51 | |
Lucent Health
| Professional | $113.84 | $113.84 | $144.08 | |
United
| Professional | $16.64 | $20.07 | $39.00 |