| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.41 | $81.28 | $346.74 | |
Aetna
| Professional | $2.75 | $17.38 | $43.65 | |
Cigna
| Facility | $0.05 | $0.05 | $0.05 | |
Cigna
| Professional | $0.05 | $0.05 | $0.05 | |
Lucent Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Professional | $0.05 | $0.05 | $0.10 |