| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $87.63 | $87.63 | $87.63 | |
Aetna
| Professional | $71.27 | $90.02 | $104.81 | |
BCBS
| Professional | $107.99 | $127.89 | $141.63 | |
Cigna
| Facility | $81.17 | $81.17 | $81.17 | |
Cigna
| Professional | $68.98 | $81.17 | $101.12 | |
Lucent Health
| Facility | $166.29 | $582.10 | $582.10 | |
United
| Professional | $46.52 | $75.58 | $121.53 |