| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.14 | $19.05 | $87.10 | |
Aetna
| Professional | $15.14 | $15.85 | $23.99 | |
BCBS
| Professional | $13.18 | $22.39 | $22.39 | |
Cigna
| Facility | $13.18 | $48.98 | $77.62 | |
Cigna
| Professional | $9.33 | $15.49 | $30.90 | |
Lucent Health
| Facility | $117.49 | $117.49 | $234.42 | |
United
| Facility | $7.24 | $13.80 | $20.42 | |
United
| Professional | $8.51 | $12.02 | $22.91 |