| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.13 | $15.13 | $16.53 | |
Aetna
| Professional | $14.85 | $15.97 | $25.79 | |
Cigna
| Facility | $54.94 | $54.94 | $95.15 | |
Cigna
| Professional | $40.11 | $40.11 | $54.94 | |
Lucent Health
| Facility | $75.00 | $159.28 | $165.11 | |
Lucent Health
| Professional | $212.02 | $220.50 | $254.55 | |
United
| Professional | $12.99 | $17.48 | $31.34 |