| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.88 | $21.88 | $21.88 | |
Aetna
| Professional | $18.20 | $21.88 | $25.70 | |
BCBS
| Professional | $25.12 | $30.20 | $36.31 | |
Cigna
| Facility | $23.44 | $23.44 | $28.84 | |
Cigna
| Professional | $19.95 | $23.44 | $30.90 | |
Lucent Health
| Facility | $35.48 | $165.96 | $165.96 | |
United
| Facility | $2.00 | $14.79 | $25.12 | |
United
| Professional | $12.02 | $19.95 | $27.54 |