| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.96 | $0.96 | $1.68 | |
Aetna
| Professional | $0.50 | $0.96 | $0.96 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $0.22 | $0.22 | $0.22 | |
Lucent Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Professional | $0.53 | $0.56 | $0.56 |