| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.84 | $7.59 | $11.56 | |
Aetna
| Professional | $5.63 | $5.84 | $5.84 | |
Cigna
| Facility | $6.17 | $6.17 | $6.17 | |
Cigna
| Professional | $6.17 | $6.17 | $6.17 | |
Lucent Health
| Facility | $7.07 | $100.00 | $100.00 | |
United
| Professional | $10.37 | $12.93 | $15.62 |