| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.86 | $51.29 | $70.79 | |
Aetna
| Professional | $41.69 | $50.12 | $74.13 | |
BCBS
| Professional | $41.69 | $64.57 | $64.57 | |
Cigna
| Facility | $41.69 | $131.83 | $229.09 | |
Cigna
| Professional | $74.13 | $77.62 | $97.72 | |
Lucent Health
| Facility | $309.03 | $309.03 | $309.03 | |
United
| Facility | $23.44 | $44.67 | $64.57 | |
United
| Professional | $26.92 | $38.90 | $93.33 |