| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.05 | $15.67 | $23.86 | |
Aetna
| Professional | $11.62 | $12.05 | $12.05 | |
Cigna
| Facility | $12.34 | $12.34 | $12.34 | |
Cigna
| Professional | $12.34 | $12.34 | $12.34 | |
Lucent Health
| Facility | $80.00 | $85.00 | $85.00 | |
United
| Professional | $12.10 | $12.10 | $12.28 |