| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.53 | $73.13 | $148.12 | |
Aetna
| Professional | $39.53 | $41.11 | $42.17 | |
BCBS
| Professional | $27.41 | $34.26 | $84.34 | |
Cigna
| Facility | $35.29 | $113.90 | $150.74 | |
Cigna
| Professional | $60.71 | $64.43 | $80.54 | |
Lucent Health
| Facility | $91.72 | $250.37 | $250.37 | |
United
| Professional | $22.14 | $31.50 | $52.71 |