| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.88 | $12.88 | $151.36 | |
Aetna
| Professional | $12.88 | $15.85 | $22.91 | |
BCBS
| Professional | $15.14 | $24.55 | $47.86 | |
Cigna
| Facility | $36.31 | $44.67 | $64.57 | |
Cigna
| Professional | $11.48 | $21.38 | $41.69 | |
Lucent Health
| Facility | $141.25 | $141.25 | $141.25 | |
Lucent Health
| Professional | $141.25 | $177.83 | $177.83 | |
United
| Professional | $20.42 | $22.91 | $28.84 |