| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $53.70 | $53.70 | $53.70 | |
Aetna
| Professional | $43.65 | $53.70 | $64.57 | |
BCBS
| Professional | $54.95 | $69.18 | $83.18 | |
Cigna
| Facility | $44.67 | $44.67 | $44.67 | |
Cigna
| Professional | $38.02 | $44.67 | $67.61 | |
Lucent Health
| Facility | $87.10 | $407.38 | $407.38 | |
United
| Facility | $4.90 | $35.48 | $57.54 | |
United
| Professional | $26.92 | $42.66 | $61.66 |