| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.58 | $6.69 | $33.54 | |
Aetna
| Professional | $3.95 | $3.95 | $4.62 | |
Cigna
| Facility | $3.95 | $3.95 | $3.95 | |
Cigna
| Professional | $3.95 | $3.95 | $3.95 | |
Lucent Health
| Facility | $75.00 | $100.00 | $100.00 | |
United
| Professional | $3.95 | $3.95 | $4.26 |