| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.45 | $23.18 | $31.98 | |
Aetna
| Professional | $14.90 | $15.45 | $15.83 | |
Cigna
| Professional | $16.88 | $16.88 | $21.09 | |
Lucent Health
| Facility | $85.00 | $90.00 | $90.00 | |
United
| Professional | $6.92 | $17.30 | $17.30 |