| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6.73 | $10.10 | $976.56 | |
Aetna
| Professional | $6.73 | $6.73 | $8.14 | |
Cigna
| Facility | $6.73 | $6.73 | $6.73 | |
Cigna
| Professional | $6.73 | $6.73 | $6.73 | |
Lucent Health
| Facility | $75.00 | $85.00 | $85.00 | |
United
| Professional | $6.42 | $6.73 | $6.73 |