| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.35 | $2.81 | $16.80 | |
Aetna
| Professional | $1.35 | $1.35 | $2.02 | |
Cigna
| Facility | $1.35 | $1.35 | $1.35 | |
Cigna
| Professional | $1.35 | $1.35 | $1.35 | |
Lucent Health
| Facility | $75.00 | $100.00 | $100.00 | |
Lucent Health
| Professional | $610.54 | $610.54 | $610.54 | |
United
| Professional | $1.28 | $1.35 | $1.35 |