| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.74 | $44.67 | $169.82 | |
Aetna
| Professional | $36.31 | $42.66 | $125.89 | |
BCBS
| Professional | $35.48 | $53.70 | $53.70 | |
Cigna
| Facility | $35.48 | $114.82 | $169.82 | |
Cigna
| Professional | $19.95 | $31.62 | $79.43 | |
Lucent Health
| Facility | $257.04 | $257.04 | $257.04 | |
United
| Facility | $19.50 | $32.36 | $53.70 | |
United
| Professional | $22.91 | $32.36 | $53.70 |