| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.44 | $22.67 | $37.06 | |
Aetna
| Professional | $17.62 | $17.62 | $21.10 | |
Cigna
| Facility | $17.62 | $17.62 | $17.62 | |
Cigna
| Professional | $17.62 | $17.62 | $17.62 | |
Lucent Health
| Facility | $75.00 | $264.00 | $264.00 | |
United
| Professional | $17.62 | $17.62 | $25.87 |