| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.05 | $123.03 | $323.59 | |
Aetna
| Professional | $12.02 | $19.95 | $28.18 | |
BCBS
| Professional | $19.50 | $22.91 | $43.65 | |
Cigna
| Facility | $50.12 | $70.79 | $100.00 | |
Cigna
| Professional | $20.42 | $28.18 | $53.70 | |
Lucent Health
| Facility | $151.36 | $151.36 | $151.36 | |
Lucent Health
| Professional | $199.53 | $199.53 | $338.84 | |
United
| Professional | $17.78 | $25.70 | $47.86 |