| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.63 | $29.63 | $29.63 | |
Aetna
| Professional | $24.10 | $30.02 | $36.72 | |
BCBS
| Professional | $31.59 | $39.03 | $42.12 | |
Cigna
| Facility | $30.64 | $30.64 | $33.40 | |
Cigna
| Professional | $26.04 | $26.04 | $54.00 | |
Lucent Health
| Facility | $62.49 | $219.96 | $219.96 | |
United
| Professional | $15.59 | $24.65 | $35.28 |