| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.70 | $41.39 | $41.39 | |
Aetna
| Professional | $26.70 | $41.39 | $46.96 | |
BCBS
| Professional | $47.00 | $47.00 | $110.45 | |
Cigna
| Professional | $42.87 | $42.87 | $42.87 | |
Lucent Health
| Facility | $108.60 | $885.11 | $885.11 | |
Lucent Health
| Professional | $338.50 | $338.50 | $478.05 |