| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.15 | $0.23 | $0.31 | |
Aetna
| Professional | $0.14 | $0.15 | $0.15 | |
Cigna
| Professional | $161.63 | $161.63 | $202.03 | |
Lucent Health
| Facility | $64.00 | $95.00 | $100.00 | |
United
| Professional | $0.28 | $0.72 | $0.72 |