| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.14 | $89.06 | $202.20 | |
Aetna
| Professional | $48.14 | $50.71 | $57.13 | |
BCBS
| Professional | $21.17 | $40.49 | $64.19 | |
Cigna
| Facility | $39.69 | $132.12 | $200.92 | |
Cigna
| Professional | $18.32 | $34.02 | $94.23 | |
Lucent Health
| Facility | $102.70 | $304.89 | $304.89 | |
United
| Professional | $20.39 | $26.96 | $64.19 |