| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.34 | $11.34 | $19.85 | |
Aetna
| Professional | $11.34 | $11.34 | $11.34 | |
Cigna
| Professional | $17.84 | $17.84 | $17.84 | |
Lucent Health
| Facility | $100.00 | $100.00 | $229.35 | |
United
| Professional | $22.00 | $33.65 | $67.42 |