| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.95 | $19.95 | $25.12 | |
Aetna
| Professional | $14.13 | $25.12 | $33.11 | |
BCBS
| Professional | $18.20 | $21.38 | $44.67 | |
Cigna
| Professional | $27.54 | $27.54 | $27.54 | |
Lucent Health
| Facility | $199.53 | $199.53 | $199.53 | |
Lucent Health
| Professional | $223.87 | $302.00 | $302.00 | |
United
| Professional | $2.82 | $19.05 | $35.48 |