| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.25 | $39.86 | $128.31 | |
Aetna
| Professional | $35.25 | $36.65 | $44.65 | |
BCBS
| Professional | $24.44 | $62.04 | $92.59 | |
Cigna
| Facility | $32.10 | $101.49 | $168.36 | |
Cigna
| Professional | $47.00 | $47.00 | $226.54 | |
Lucent Health
| Facility | $81.78 | $223.25 | $223.25 | |
Lucent Health
| Professional | $234.06 | $234.06 | $352.50 | |
United
| Professional | $19.73 | $28.20 | $47.00 |