| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.02 | $20.02 | $20.02 | |
Aetna
| Professional | $16.28 | $20.28 | $24.70 | |
BCBS
| Professional | $21.27 | $26.78 | $28.36 | |
Cigna
| Facility | $20.72 | $20.72 | $22.61 | |
Cigna
| Professional | $17.61 | $20.72 | $27.20 | |
Lucent Health
| Facility | $42.28 | $148.63 | $148.63 | |
United
| Professional | $10.49 | $16.60 | $23.75 |