| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.05 | $36.82 | $53.23 | |
Aetna
| Professional | $27.00 | $27.00 | $30.31 | |
Cigna
| Facility | $27.00 | $27.00 | $27.00 | |
Cigna
| Professional | $27.00 | $27.00 | $27.00 | |
Lucent Health
| Facility | $90.41 | $222.75 | $222.75 | |
United
| Facility | $27.85 | $27.85 | $33.97 | |
United
| Professional | $27.00 | $27.00 | $55.08 |