| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.00 | $12.00 | $20.00 | |
Cigna
| Professional | $8.96 | $8.96 | $8.96 | |
Lucent Health
| Facility | $90.00 | $100.00 | $100.00 | |
Lucent Health
| Professional | $98.94 | $98.94 | $102.90 |