| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.02 | $38.02 | $46.77 | |
Aetna
| Professional | $33.11 | $48.98 | $58.88 | |
BCBS
| Professional | $56.23 | $74.13 | $112.20 | |
Cigna
| Facility | $33.11 | $13,803.84 | $19,952.62 | |
Lucent Health
| Facility | $323.59 | $323.59 | $323.59 | |
Lucent Health
| Professional | $323.59 | $323.59 | $323.59 | |
United
| Facility | $30.20 | $30.20 | $30.20 | |
United
| Professional | $48.98 | $69.18 | $120.23 |