| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.73 | $15.73 | $150.00 | |
Aetna
| Professional | $15.49 | $19.00 | $20.97 | |
BCBS
| Professional | $3.05 | $4.55 | $8.93 | |
Cigna
| Professional | $6.63 | $12.78 | $17.00 | |
Lucent Health
| Facility | $80.00 | $80.00 | $80.00 | |
Lucent Health
| Professional | $41.00 | $41.00 | $45.23 | |
Optum
| Professional | $11.58 | $11.58 | $54.08 | |
United
| Professional | $4.79 | $6.54 | $11.55 |