| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.57 | $7.57 | $13.55 | |
Aetna
| Professional | $7.57 | $7.57 | $9.16 | |
Cigna
| Facility | $6.77 | $6.77 | $6.77 | |
Cigna
| Professional | $6.77 | $6.77 | $6.77 | |
Lucent Health
| Facility | $75.00 | $90.00 | $90.00 | |
United
| Professional | $7.57 | $7.57 | $7.57 |