| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.18 | $31.43 | $48.03 | |
Aetna
| Professional | $24.18 | $24.43 | $27.12 | |
Cigna
| Facility | $41.64 | $41.64 | $41.64 | |
Cigna
| Professional | $41.64 | $41.64 | $41.64 | |
Lucent Health
| Facility | $50.12 | $208.20 | $208.20 | |
United
| Professional | $44.78 | $47.14 | $47.14 |