| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.66 | $42.66 | $61.66 | |
Aetna
| Professional | $41.69 | $41.69 | $41.69 | |
BCBS
| Professional | $31.62 | $42.66 | $42.66 | |
Cigna
| Facility | $27.54 | $28.84 | $151.36 | |
Cigna
| Professional | $42.66 | $42.66 | $52.48 | |
Lucent Health
| Facility | $199.53 | $199.53 | $199.53 | |
United
| Facility | $15.14 | $28.84 | $42.66 | |
United
| Professional | $15.85 | $22.91 | $42.66 |