| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.83 | $2.38 | $3.99 | |
Aetna
| Professional | $1.83 | $1.83 | $2.21 | |
Cigna
| Facility | $1.83 | $1.83 | $1.83 | |
Cigna
| Professional | $1.83 | $1.83 | $1.83 | |
Lucent Health
| Facility | $75.00 | $95.00 | $100.00 | |
Lucent Health
| Professional | $552.48 | $552.48 | $552.48 | |
United
| Professional | $1.74 | $1.83 | $1.83 |