| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.58 | $13.75 | $22.48 | |
Aetna
| Professional | $10.95 | $10.95 | $12.80 | |
Cigna
| Facility | $10.95 | $10.95 | $10.95 | |
Cigna
| Professional | $10.95 | $10.95 | $10.95 | |
Lucent Health
| Facility | $75.00 | $85.00 | $85.00 | |
United
| Professional | $10.95 | $10.95 | $11.59 |