| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.72 | $20.72 | $20.72 | |
Aetna
| Professional | $16.85 | $20.99 | $24.25 | |
BCBS
| Professional | $21.81 | $27.65 | $31.10 | |
Cigna
| Facility | $21.85 | $21.85 | $22.81 | |
Cigna
| Professional | $18.57 | $21.85 | $28.68 | |
Lucent Health
| Facility | $42.62 | $155.56 | $155.56 | |
United
| Professional | $11.63 | $18.11 | $26.02 |