| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.84 | $29.51 | $52.48 | |
Aetna
| Professional | $28.84 | $28.84 | $37.15 | |
BCBS
| Professional | $489.78 | $489.78 | $489.78 | |
Cigna
| Professional | $870.96 | $870.96 | $870.96 | |
Lucent Health
| Facility | $100.00 | $100.00 | $100.00 |