| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.61 | $3.29 | $5.69 | |
Aetna
| Professional | $2.61 | $2.61 | $3.16 | |
Cigna
| Facility | $2.61 | $2.61 | $2.61 | |
Cigna
| Professional | $2.61 | $2.61 | $2.61 | |
Lucent Health
| Facility | $75.00 | $85.00 | $85.00 | |
United
| Professional | $2.61 | $2.61 | $2.61 |