| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.90 | $41.69 | $57.54 | |
Aetna
| Professional | $34.67 | $40.74 | $60.26 | |
BCBS
| Professional | $33.88 | $52.48 | $52.48 | |
Cigna
| Facility | $33.88 | $109.65 | $186.21 | |
Cigna
| Professional | $60.26 | $64.57 | $81.28 | |
Lucent Health
| Facility | $251.19 | $251.19 | $251.19 | |
United
| Facility | $19.05 | $36.31 | $52.48 | |
United
| Professional | $22.39 | $31.62 | $52.48 |