| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.14 | $13.71 | $21.25 | |
Aetna
| Professional | $10.26 | $14.53 | $20.56 | |
BCBS
| Professional | $17.63 | $23.50 | $55.70 | |
Cigna
| Professional | $12.00 | $12.00 | $12.00 | |
Lucent Health
| Facility | $47.71 | $110.59 | $111.63 | |
Lucent Health
| Professional | $117.03 | $117.03 | $176.25 | |
United
| Professional | $7.82 | $10.93 | $13.77 |