| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.66 | $11.66 | $150.00 | |
Aetna
| Professional | $11.66 | $14.95 | $18.23 | |
BCBS
| Professional | $19.23 | $28.43 | $54.09 | |
Cigna
| Professional | $10.00 | $16.20 | $41.41 | |
Lucent Health
| Facility | $80.00 | $80.00 | $80.00 | |
Lucent Health
| Professional | $174.02 | $178.47 | $279.75 | |
Optum
| Professional | $16.68 | $16.68 | $54.08 | |
United
| Professional | $29.60 | $40.25 | $72.81 |