| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.82 | $16.82 | $16.82 | |
Aetna
| Professional | $13.68 | $17.04 | $20.91 | |
BCBS
| Professional | $17.54 | $22.08 | $23.38 | |
Cigna
| Facility | $17.30 | $17.30 | $17.30 | |
Cigna
| Professional | $14.71 | $14.71 | $30.75 | |
Lucent Health
| Facility | $35.78 | $124.16 | $124.16 | |
United
| Professional | $8.50 | $13.69 | $19.23 |