| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.53 | $4.59 | $6.99 | |
Aetna
| Professional | $3.40 | $3.53 | $3.53 | |
Cigna
| Facility | $3.75 | $3.75 | $3.75 | |
Cigna
| Professional | $3.75 | $3.75 | $3.75 | |
Lucent Health
| Facility | $7.71 | $108.45 | $108.45 | |
United
| Professional | $3.75 | $3.75 | $4.66 |