| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.32 | $6.94 | $11.35 | |
Aetna
| Professional | $5.32 | $5.32 | $6.46 | |
Cigna
| Facility | $5.32 | $5.32 | $8.43 | |
Cigna
| Professional | $5.32 | $5.32 | $5.32 | |
Lucent Health
| Facility | $75.00 | $85.00 | $85.00 | |
United
| Professional | $5.32 | $5.32 | $5.65 |