| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.40 | $31.75 | $106.66 | |
Aetna
| Professional | $25.40 | $26.41 | $32.17 | |
BCBS
| Professional | $17.61 | $44.70 | $66.70 | |
Cigna
| Facility | $22.68 | $73.01 | $120.42 | |
Cigna
| Professional | $33.86 | $33.86 | $163.21 | |
Lucent Health
| Facility | $58.92 | $160.84 | $160.84 | |
Lucent Health
| Professional | $169.30 | $169.30 | $253.95 | |
United
| Professional | $14.22 | $20.32 | $33.86 |