| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.67 | $22.20 | $34.42 | |
Aetna
| Professional | $16.64 | $23.54 | $33.31 | |
BCBS
| Professional | $28.55 | $38.07 | $90.23 | |
Cigna
| Professional | $19.44 | $19.44 | $19.44 | |
Lucent Health
| Facility | $77.28 | $179.15 | $180.83 | |
Lucent Health
| Professional | $189.59 | $189.59 | $285.52 | |
United
| Professional | $12.66 | $17.88 | $22.31 |