| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.29 | $20.29 | $25.36 | |
Aetna
| Professional | $16.43 | $25.36 | $31.59 | |
BCBS
| Professional | $17.59 | $28.61 | $46.79 | |
Cigna
| Facility | $40.54 | $40.54 | $40.54 | |
Cigna
| Professional | $27.03 | $27.03 | $169.95 | |
Lucent Health
| Facility | $85.00 | $193.28 | $193.28 | |
Lucent Health
| Professional | $200.67 | $225.90 | $305.33 | |
United
| Professional | $2.94 | $18.95 | $37.33 |