| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.81 | $39.81 | $70.79 | |
Aetna
| Professional | $39.81 | $39.81 | $39.81 | |
BCBS
| Professional | $489.78 | $489.78 | $489.78 | |
Cigna
| Professional | $141.25 | $141.25 | $141.25 | |
Lucent Health
| Facility | $380.19 | $380.19 | $380.19 | |
Lucent Health
| Professional | $109.65 | $109.65 | $109.65 |