| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.44 | $59.06 | $151.19 | |
Aetna
| Professional | $35.44 | $36.86 | $44.89 | |
BCBS
| Professional | $47.25 | $66.15 | $233.70 | |
Cigna
| Facility | $31.32 | $113.88 | $181.68 | |
Cigna
| Professional | $21.25 | $32.42 | $127.66 | |
Lucent Health
| Facility | $82.22 | $276.58 | $276.58 | |
Lucent Health
| Professional | $236.25 | $236.25 | $354.38 | |
United
| Professional | $19.85 | $28.35 | $47.25 |