| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.29 | $33.36 | $88.50 | |
Aetna
| Professional | $16.29 | $28.31 | $44.93 | |
BCBS
| Professional | $17.80 | $32.21 | $58.73 | |
Cigna
| Facility | $43.54 | $50.37 | $150.25 | |
Cigna
| Professional | $17.09 | $32.88 | $60.03 | |
Lucent Health
| Facility | $175.22 | $175.22 | $175.22 | |
Lucent Health
| Professional | $251.37 | $251.37 | $335.18 | |
United
| Professional | $28.29 | $38.08 | $73.14 |