| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.50 | $33.39 | $57.74 | |
Aetna
| Professional | $27.85 | $27.85 | $30.93 | |
Cigna
| Facility | $23.59 | $27.85 | $27.85 | |
Cigna
| Professional | $27.85 | $27.85 | $27.85 | |
Lucent Health
| Facility | $86.02 | $354.50 | $354.50 | |
United
| Facility | $24.94 | $24.94 | $30.43 | |
United
| Professional | $27.85 | $29.52 | $56.81 |