| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9.77 | $12.88 | $21.06 | |
Aetna
| Professional | $9.77 | $9.77 | $11.99 | |
Cigna
| Facility | $9.77 | $9.77 | $15.21 | |
Cigna
| Professional | $9.77 | $9.77 | $9.77 | |
Lucent Health
| Facility | $75.00 | $85.00 | $85.00 | |
United
| Professional | $9.77 | $9.77 | $12.13 |