| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.00 | $1.26 | $2.19 | |
Aetna
| Professional | $1.00 | $1.00 | $1.26 | |
BCBS
| Professional | $489.78 | $489.78 | $489.78 | |
Cigna
| Professional | $309.03 | $309.03 | $309.03 | |
Lucent Health
| Facility | $295.12 | $295.12 | $316.23 | |
Lucent Health
| Professional | $407.38 | $407.38 | $407.38 |