| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.75 | $23.44 | $78.75 | |
Aetna
| Professional | $18.75 | $19.50 | $23.75 | |
BCBS
| Professional | $13.00 | $33.00 | $49.25 | |
Cigna
| Facility | $14.30 | $51.23 | $88.86 | |
Cigna
| Professional | $25.00 | $25.00 | $120.50 | |
Lucent Health
| Facility | $43.50 | $118.75 | $118.75 | |
Lucent Health
| Professional | $125.00 | $125.00 | $187.50 | |
United
| Professional | $10.50 | $15.00 | $25.00 |