| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.13 | $44.66 | $140.40 | |
Aetna
| Professional | $42.13 | $42.13 | $42.13 | |
BCBS
| Professional | $21.91 | $42.13 | $51.43 | |
Cigna
| Facility | $28.65 | $35.32 | $183.56 | |
Cigna
| Professional | $42.13 | $42.13 | $59.10 | |
Lucent Health
| Facility | $89.49 | $244.29 | $244.29 | |
United
| Professional | $17.73 | $22.65 | $51.43 |