| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6.55 | $9.83 | $13.56 | |
Aetna
| Professional | $6.31 | $6.55 | $6.71 | |
Cigna
| Facility | $6.71 | $6.71 | $6.71 | |
Cigna
| Professional | $6.71 | $6.71 | $6.71 | |
Lucent Health
| Facility | $80.00 | $100.00 | $100.00 | |
United
| Professional | $1.12 | $6.58 | $6.58 |