| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.68 | $12.68 | $22.19 | |
Aetna
| Professional | $12.67 | $12.68 | $12.68 | |
Cigna
| Facility | $11.97 | $11.97 | $11.97 | |
Cigna
| Professional | $11.97 | $11.97 | $11.97 | |
Lucent Health
| Facility | $19.92 | $100.00 | $100.00 | |
United
| Facility | $49.62 | $49.62 | $60.54 | |
United
| Professional | $51.46 | $51.46 | $60.72 |