| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.21 | $17.89 | $30.96 | |
Aetna
| Professional | $14.23 | $14.23 | $17.19 | |
Cigna
| Facility | $14.23 | $14.23 | $14.23 | |
Cigna
| Professional | $14.23 | $14.23 | $14.23 | |
Lucent Health
| Facility | $75.00 | $85.00 | $85.00 | |
United
| Professional | $14.23 | $14.23 | $20.77 |