| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.99 | $4.40 | $6.19 | |
Aetna
| Professional | $2.88 | $2.99 | $3.06 | |
Cigna
| Facility | $3.06 | $3.06 | $3.06 | |
Cigna
| Professional | $3.06 | $3.06 | $3.06 | |
Lucent Health
| Facility | $75.00 | $139.11 | $139.11 | |
Lucent Health
| Professional | $484.17 | $484.17 | $484.17 | |
United
| Professional | $2.85 | $3.00 | $3.00 |