| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.35 | $19.14 | $19.14 | |
Aetna
| Professional | $12.35 | $19.14 | $21.92 | |
BCBS
| Professional | $39.00 | $91.65 | $91.65 | |
Cigna
| Professional | $20.72 | $20.72 | $20.72 | |
Lucent Health
| Facility | $85.00 | $885.11 | $885.11 | |
Lucent Health
| Professional | $204.00 | $283.32 | $283.32 |