| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $46.78 | $262.05 | $337.63 | |
Aetna
| Professional | $27.05 | $40.03 | $61.58 | |
BCBS
| Professional | $19.88 | $35.29 | $62.08 | |
Cigna
| Professional | $13.34 | $28.85 | $82.30 | |
Lucent Health
| Facility | $119.57 | $130.15 | $130.15 | |
Lucent Health
| Facility | AS | $11.96 | $13.02 | $13.02 |
Lucent Health
| Professional | $187.85 | $318.22 | $424.95 | |
United
| Professional | $39.65 | $45.84 | $50.06 |