| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.63 | $21.62 | $32.93 | |
Aetna
| Professional | $16.03 | $16.63 | $16.63 | |
Cigna
| Facility | $16.98 | $16.98 | $16.98 | |
Cigna
| Professional | $16.98 | $16.98 | $16.98 | |
Lucent Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Professional | $19.04 | $20.04 | $20.04 |