| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.71 | $23.96 | $33.45 | |
BCBS
| Professional | $47.25 | $63.00 | $148.05 | |
Cigna
| Professional | $36.89 | $36.89 | $36.89 | |
Lucent Health
| Facility | $45.88 | $123.58 | $123.58 | |
Lucent Health
| Professional | $167.71 | $167.71 | $199.28 |