| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $60.46 | $60.46 | $60.46 | |
Aetna
| Professional | $49.17 | $61.26 | $75.70 | |
BCBS
| Professional | $60.24 | $87.54 | $89.03 | |
Cigna
| Facility | $64.23 | $64.23 | $65.61 | |
Cigna
| Professional | $54.60 | $54.60 | $111.00 | |
Lucent Health
| Facility | $119.14 | $433.65 | $433.65 | |
United
| Professional | $32.09 | $52.83 | $77.22 |