| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.59 | $16.59 | $29.03 | |
Aetna
| Professional | $16.59 | $16.59 | $16.59 | |
Cigna
| Professional | $2.02 | $2.02 | $2.02 | |
Lucent Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Professional | $32.38 | $34.08 | $39.18 |