| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.14 | $14.14 | $14.14 | |
Aetna
| Professional | $11.50 | $14.33 | $17.67 | |
BCBS
| Professional | $14.90 | $18.88 | $21.24 | |
Cigna
| Facility | $14.57 | $14.57 | $14.57 | |
Cigna
| Professional | $12.38 | $14.57 | $17.44 | |
Lucent Health
| Facility | $45.05 | $104.55 | $105.40 | |
United
| Professional | $7.50 | $12.93 | $18.54 |