| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.67 | $37.15 | $51.29 | |
Aetna
| Professional | $30.90 | $37.15 | $56.23 | |
BCBS
| Professional | $24.55 | $46.77 | $46.77 | |
Cigna
| Facility | $30.90 | $97.72 | $169.82 | |
Cigna
| Professional | $46.77 | $46.77 | $46.77 | |
Lucent Health
| Facility | $223.87 | $223.87 | $223.87 | |
Lucent Health
| Professional | $234.42 | $354.81 | $354.81 | |
United
| Facility | $16.98 | $46.77 | $46.77 | |
United
| Professional | $19.95 | $28.18 | $46.77 |