| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.98 | $7.77 | $12.71 | |
Aetna
| Professional | $5.98 | $5.98 | $7.24 | |
Cigna
| Facility | $5.98 | $5.98 | $5.98 | |
Cigna
| Professional | $5.98 | $5.98 | $5.98 | |
Lucent Health
| Facility | $75.00 | $85.00 | $85.00 | |
United
| Professional | $5.75 | $5.98 | $5.98 |