| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.84 | $51.79 | $78.88 | |
Aetna
| Professional | $38.40 | $39.84 | $39.84 | |
Cigna
| Facility | $42.40 | $42.40 | $42.40 | |
Cigna
| Professional | $42.40 | $42.40 | $42.40 | |
Lucent Health
| Facility | $48.00 | $100.00 | $100.00 | |
United
| Professional | $42.50 | $50.00 | $50.00 |