| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.00 | $42.00 | $73.50 | |
Aetna
| Professional | $42.00 | $42.00 | $42.00 | |
BCBS
| Professional | $29.58 | $34.79 | $58.76 | |
Cigna
| Professional | $39.75 | $39.75 | $39.75 | |
Lucent Health
| Facility | $89.75 | $250.01 | $253.75 | |
Lucent Health
| Professional | $266.02 | $266.02 | $400.65 | |
United
| Professional | $20.74 | $31.12 | $33.71 |