| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.48 | $174.92 | $351.45 | |
Aetna
| Professional | $24.73 | $37.99 | $71.01 | |
BCBS
| Professional | $18.01 | $30.29 | $53.21 | |
Cigna
| Professional | $12.28 | $25.14 | $75.95 | |
Lucent Health
| Facility | $110.49 | $120.32 | $120.32 | |
Lucent Health
| Facility | AS | $11.05 | $12.03 | $12.03 |
Lucent Health
| Professional | $158.51 | $268.44 | $355.43 | |
United
| Professional | $35.83 | $40.26 | $47.69 |