| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43.50 | $80.48 | $202.99 | |
Aetna
| Professional | $43.50 | $45.82 | $54.77 | |
BCBS
| Professional | $31.90 | $64.44 | $79.12 | |
Cigna
| Professional | $66.48 | $83.12 | $88.28 | |
Lucent Health
| Facility | $100.92 | $532.57 | $532.57 | |
United
| Professional | $24.36 | $39.86 | $82.14 |