| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $46.61 | $86.23 | $174.61 | |
Aetna
| Professional | $46.61 | $49.09 | $55.30 | |
BCBS
| Professional | $32.31 | $40.39 | $99.42 | |
Cigna
| Facility | $41.62 | $133.61 | $177.72 | |
Cigna
| Professional | $71.45 | $89.31 | $94.48 | |
Lucent Health
| Facility | $108.12 | $295.17 | $295.17 | |
United
| Facility | $22.37 | $37.28 | $62.14 | |
United
| Professional | $26.10 | $37.28 | $62.14 |