| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.95 | $19.95 | $34.67 | |
Aetna
| Professional | $19.95 | $19.95 | $19.95 | |
BCBS
| Professional | $489.78 | $489.78 | $489.78 | |
Cigna
| Professional | $28.84 | $28.84 | $28.84 | |
Lucent Health
| Facility | $100.00 | $100.00 | $100.00 | |
Lucent Health
| Professional | $22.39 | $22.39 | $22.39 |