| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.89 | $7.42 | $10.58 | |
Aetna
| Professional | $5.78 | $5.97 | $9.85 | |
Cigna
| Facility | $6.55 | $6.55 | $6.55 | |
Cigna
| Professional | $6.55 | $6.55 | $6.55 | |
Lucent Health
| Facility | $12.21 | $100.00 | $100.00 | |
Lucent Health
| Professional | $990.60 | $990.60 | $990.60 | |
United
| Professional | $10.66 | $11.59 | $12.40 |