| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.98 | $3.98 | $7.08 | |
Aetna
| Professional | $3.98 | $3.98 | $3.98 | |
BCBS
| Professional | $489.78 | $489.78 | $489.78 | |
Cigna
| Professional | $1.32 | $1.32 | $1.32 | |
Lucent Health
| Facility | $100.00 | $100.00 | $100.00 | |
Lucent Health
| Professional | $81.28 | $81.28 | $81.28 |