| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.54 | $17.54 | $21.78 | |
Aetna
| Professional | $14.83 | $20.93 | $30.70 | |
BCBS
| Professional | $20.23 | $30.56 | $30.56 | |
Cigna
| Facility | $12.60 | $21.22 | $21.22 | |
Cigna
| Professional | $18.04 | $18.04 | $27.42 | |
Lucent Health
| Facility | $71.70 | $157.81 | $167.77 | |
Lucent Health
| Professional | $175.89 | $175.89 | $255.60 | |
United
| Professional | $10.39 | $16.22 | $22.57 |