| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.32 | $23.32 | $23.32 | |
Aetna
| Professional | $5.12 | $23.32 | $36.19 | |
BCBS
| Professional | $3.02 | $4.45 | $6.94 | |
Cigna
| Professional | $19.00 | $24.00 | $31.32 | |
Lucent Health
| Facility | $85.00 | $85.00 | $85.00 | |
Lucent Health
| Professional | $125.00 | $125.00 | $125.00 | |
Optum
| Professional | $23.82 | $23.82 | $29.27 | |
United
| Professional | $4.84 | $7.75 | $23.82 |