| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.25 | $43.75 | $112.00 | |
Aetna
| Professional | $26.25 | $27.65 | $38.50 | |
BCBS
| Professional | $35.00 | $49.00 | $242.31 | |
Cigna
| Facility | $35.15 | $87.37 | $179.54 | |
Cigna
| Professional | $15.73 | $24.03 | $94.53 | |
Lucent Health
| Facility | $60.90 | $166.25 | $166.25 | |
Lucent Health
| Professional | $175.00 | $175.00 | $262.50 | |
United
| Professional | $14.70 | $21.00 | $35.00 |