| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.02 | $0.02 | $0.02 | |
Aetna
| Professional | $0.02 | $20.00 | $26.47 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $8.32 | $8.32 | $8.32 | |
Lucent Health
| Facility | $90.00 | $100.00 | $100.00 | |
United
| Professional | $13.60 | $19.20 | $32.79 |