| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $8.81 | $8.81 | $8.81 | |
Cigna
| Facility | $9.16 | $9.16 | $9.16 | |
Cigna
| Professional | $9.16 | $9.16 | $9.16 | |
Lucent Health
| Facility | $100.00 | $125.36 | $139.19 | |
United
| Professional | $8.81 | $10.36 | $10.36 |