| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.46 | $61.76 | $990.00 | |
Aetna
| Professional | $0.46 | $0.46 | $0.47 | |
Cigna
| Facility | $0.36 | $0.46 | $0.46 | |
Cigna
| Professional | $0.46 | $0.46 | $0.46 | |
Lucent Health
| Facility | $75.00 | $85.00 | $85.00 | |
United
| Professional | $0.46 | $0.49 | $0.94 |