| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.05 | $15.67 | $23.86 | |
Aetna
| Professional | $11.62 | $12.05 | $12.05 | |
Cigna
| Facility | $14.52 | $14.52 | $14.52 | |
Cigna
| Professional | $14.52 | $14.52 | $14.52 | |
Lucent Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Professional | $12.72 | $14.52 | $14.52 |