| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.70 | $28.18 | $38.02 | |
Aetna
| Professional | $22.91 | $26.92 | $41.69 | |
BCBS
| Professional | $18.20 | $35.48 | $35.48 | |
Cigna
| Facility | $15.49 | $72.44 | $125.89 | |
Cigna
| Professional | $35.48 | $35.48 | $35.48 | |
Lucent Health
| Facility | $165.96 | $165.96 | $165.96 | |
Lucent Health
| Professional | $173.78 | $263.03 | $263.03 | |
United
| Facility | $12.59 | $35.48 | $35.48 | |
United
| Professional | $14.79 | $20.89 | $35.48 |