| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.79 | $14.03 | $21.36 | |
Aetna
| Professional | $10.40 | $10.79 | $10.79 | |
Cigna
| Facility | $11.05 | $11.05 | $11.05 | |
Cigna
| Professional | $11.05 | $11.05 | $11.05 | |
Lucent Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Professional | $11.05 | $13.00 | $13.00 |