| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.37 | $22.58 | $37.85 | |
Aetna
| Professional | $18.50 | $18.50 | $21.02 | |
Cigna
| Facility | $18.00 | $18.50 | $18.50 | |
Cigna
| Professional | $18.50 | $18.50 | $18.50 | |
Lucent Health
| Facility | $75.00 | $134.80 | $134.80 | |
United
| Professional | $18.50 | $19.61 | $32.61 |