| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.92 | $22.92 | $28.46 | |
Aetna
| Professional | $19.30 | $27.35 | $38.81 | |
BCBS
| Professional | $26.43 | $39.92 | $39.92 | |
Cigna
| Facility | $22.51 | $26.66 | $26.66 | |
Cigna
| Professional | $22.66 | $22.66 | $31.36 | |
Lucent Health
| Facility | $75.00 | $196.23 | $196.23 | |
Lucent Health
| Professional | $220.91 | $220.91 | $397.13 | |
United
| Professional | $12.75 | $20.64 | $27.78 |