| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.12 | $3.12 | $5.46 | |
Aetna
| Professional | $3.01 | $3.12 | $3.12 | |
Cigna
| Facility | $3.20 | $3.20 | $3.20 | |
Cigna
| Professional | $3.20 | $3.20 | $3.20 | |
Lucent Health
| Facility | $80.00 | $85.00 | $85.00 | |
United
| Professional | $1.13 | $3.13 | $3.13 |