| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.03 | $72.03 | $72.03 | |
Aetna
| Professional | $58.58 | $72.98 | $84.19 | |
BCBS
| Professional | $77.13 | $97.09 | $102.84 | |
Cigna
| Facility | $73.04 | $73.04 | $81.09 | |
Cigna
| Professional | $62.08 | $73.04 | $95.86 | |
Lucent Health
| Facility | $111.89 | $523.65 | $523.65 | |
United
| Facility | $5.63 | $45.83 | $77.41 | |
United
| Professional | $38.22 | $58.31 | $87.43 |