| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.56 | $45.47 | $103.23 | |
Aetna
| Professional | $20.00 | $25.56 | $31.13 | |
BCBS
| Professional | $17.04 | $18.02 | $32.77 | |
Cigna
| Facility | $21.30 | $70.81 | $102.72 | |
Cigna
| Professional | $14.05 | $17.37 | $48.39 | |
Lucent Health
| Facility | $57.02 | $155.66 | $155.66 | |
United
| Professional | $13.76 | $19.66 | $32.77 |