| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $46.50 | $98.16 | $116.68 | |
Aetna
| Professional | $98.15 | $98.16 | $118.77 | |
BCBS
| Professional | $87.88 | $87.88 | $87.88 | |
Cigna
| Facility | $96.58 | $96.58 | $96.58 | |
Cigna
| Professional | $96.58 | $96.58 | $96.58 | |
Lucent Health
| Facility | $90.57 | $150.50 | $175.76 | |
United
| Facility | $83.49 | $83.49 | $101.86 | |
United
| Professional | $86.23 | $97.44 | $103.48 |