| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.24 | $320.70 | $320.70 | |
Aetna
| Professional | $12.69 | $25.96 | $37.85 | |
BCBS
| Professional | $32.45 | $43.27 | $102.55 | |
Cigna
| Professional | $22.09 | $22.09 | $22.09 | |
Lucent Health
| Facility | $85.00 | $203.25 | $205.53 | |
Lucent Health
| Professional | $215.48 | $215.48 | $324.52 | |
United
| Professional | $15.00 | $15.00 | $15.00 |