| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.20 | $36.20 | $36.20 | |
Aetna
| Professional | $29.44 | $36.68 | $45.24 | |
BCBS
| Professional | $36.14 | $47.45 | $53.38 | |
Cigna
| Facility | $37.90 | $37.90 | $37.90 | |
Cigna
| Professional | $32.22 | $37.90 | $45.55 | |
Lucent Health
| Facility | $87.18 | $272.00 | $275.26 | |
United
| Professional | $19.21 | $32.47 | $44.97 |