| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.54 | $13.70 | $20.95 | |
Aetna
| Professional | $10.54 | $10.65 | $11.82 | |
Cigna
| Facility | $8.94 | $8.94 | $8.94 | |
Cigna
| Professional | $8.94 | $8.94 | $8.94 | |
Lucent Health
| Facility | $21.85 | $100.00 | $100.00 | |
United
| Professional | $13.09 | $15.40 | $15.40 |