| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.45 | $31.79 | $53.28 | |
Aetna
| Professional | $29.58 | $29.84 | $30.74 | |
Cigna
| Facility | $29.84 | $29.84 | $30.68 | |
Cigna
| Professional | $29.84 | $29.84 | $29.84 | |
Lucent Health
| Facility | $88.93 | $149.19 | $149.78 | |
United
| Professional | $29.84 | $29.84 | $76.19 |