| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.70 | $43.85 | $88.80 | |
Aetna
| Professional | $23.70 | $24.65 | $26.86 | |
BCBS
| Professional | $16.43 | $23.70 | $50.56 | |
Cigna
| Facility | $21.16 | $67.90 | $90.38 | |
Cigna
| Professional | $36.34 | $38.40 | $48.01 | |
Lucent Health
| Facility | $80.00 | $150.10 | $150.10 | |
United
| Professional | $13.27 | $18.96 | $31.60 |