| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.32 | $29.75 | $95.80 | |
Aetna
| Professional | $26.32 | $27.37 | $33.34 | |
BCBS
| Professional | $18.25 | $46.32 | $69.13 | |
Cigna
| Facility | $20.05 | $72.12 | $125.10 | |
Cigna
| Professional | $35.09 | $35.09 | $169.13 | |
Lucent Health
| Facility | $61.06 | $166.68 | $166.68 | |
Lucent Health
| Professional | $175.45 | $175.45 | $263.18 | |
United
| Professional | $14.74 | $21.05 | $35.09 |