| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.52 | $29.10 | $30.30 | |
Aetna
| Professional | $0.52 | $0.52 | $0.52 | |
BCBS
| Professional | $314.00 | $481.00 | $481.00 | |
Cigna
| Professional | $6.87 | $6.87 | $6.87 | |
Lucent Health
| Facility | $100.00 | $100.00 | $100.00 |