| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.78 | $23.78 | $23.78 | |
Aetna
| Professional | $19.34 | $24.19 | $29.82 | |
BCBS
| Professional | $25.48 | $32.07 | $34.11 | |
Cigna
| Facility | $25.90 | $25.90 | $26.77 | |
Cigna
| Professional | $22.02 | $25.90 | $34.00 | |
Lucent Health
| Facility | $48.61 | $185.84 | $185.84 | |
United
| Professional | $12.62 | $19.89 | $30.61 |