| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.82 | $86.65 | $223.65 | |
Aetna
| Professional | $23.02 | $54.47 | $103.51 | |
BCBS
| Professional | $21.67 | $48.95 | $127.58 | |
Cigna
| Facility | $38.79 | $38.79 | $38.79 | |
Cigna
| Professional | $24.13 | $60.32 | $125.31 | |
Lucent Health
| Facility | $107.50 | $116.23 | $116.23 | |
Lucent Health
| Professional | $222.37 | $476.90 | $497.63 | |
United
| Professional | $67.70 | $87.57 | $157.80 |