| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.11 | $22.82 | $39.46 | |
Aetna
| Professional | $18.86 | $18.86 | $21.91 | |
Cigna
| Facility | $18.86 | $18.86 | $18.86 | |
Cigna
| Professional | $18.86 | $18.86 | $18.86 | |
Lucent Health
| Facility | $75.00 | $94.30 | $94.30 | |
United
| Professional | $18.86 | $18.86 | $18.89 |