| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.20 | $18.62 | $32.36 | |
Aetna
| Professional | $18.20 | $18.20 | $18.62 | |
Lucent Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $12.02 | $12.59 | $14.45 | |
United
| Professional | $18.62 | $18.62 | $21.88 |