| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.08 | $2.72 | $24.16 | |
Aetna
| Professional | $0.08 | $0.08 | $0.09 | |
Cigna
| Facility | $0.09 | $0.09 | $0.09 | |
Cigna
| Professional | $0.09 | $0.09 | $0.09 | |
Lucent Health
| Facility | $75.00 | $100.00 | $100.00 | |
Lucent Health
| Professional | $64.58 | $64.58 | $64.58 | |
United
| Professional | $0.08 | $0.08 | $0.08 |