| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.51 | $69.00 | $237.57 | |
Aetna
| Professional | $0.65 | $0.65 | $0.86 | |
Cigna
| Facility | $0.65 | $0.65 | $0.65 | |
Cigna
| Professional | $0.65 | $0.65 | $0.65 | |
Lucent Health
| Facility | $75.00 | $100.00 | $100.00 | |
United
| Professional | $0.65 | $0.65 | $4.43 |