| 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 | $23.99 | |
BCBS
| Professional | $23.99 | $28.84 | $34.67 | |
Cigna
| Facility | $22.91 | $22.91 | $25.70 | |
Cigna
| Professional | $19.50 | $22.91 | $29.51 | |
Lucent Health
| Facility | $34.67 | $162.18 | $162.18 | |
United
| Facility | $1.95 | $14.45 | $21.38 | |
United
| Professional | $11.48 | $18.62 | $25.70 |