| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.20 | $19.20 | $33.60 | |
Aetna
| Professional | $19.19 | $19.20 | $19.20 | |
Cigna
| Facility | $11.89 | $11.89 | $11.89 | |
Cigna
| Professional | $11.89 | $11.89 | $11.89 | |
Lucent Health
| Facility | $22.48 | $100.00 | $100.00 | |
United
| Professional | $25.74 | $25.74 | $30.37 |