| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.20 | $36.65 | $55.84 | |
Aetna
| Professional | $27.18 | $28.20 | $28.20 | |
Cigna
| Facility | $28.88 | $28.88 | $28.88 | |
Cigna
| Professional | $28.88 | $28.88 | $28.88 | |
Lucent Health
| Facility | $75.00 | $150.10 | $150.10 | |
United
| Professional | $28.32 | $28.32 | $28.88 |