| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.18 | $31.18 | $31.18 | |
Aetna
| Professional | $25.36 | $31.59 | $38.96 | |
BCBS
| Professional | $30.70 | $40.67 | $40.93 | |
Cigna
| Facility | $32.79 | $32.79 | $32.79 | |
Cigna
| Professional | $27.87 | $32.79 | $39.42 | |
Lucent Health
| Facility | $77.90 | $235.26 | $238.26 | |
United
| Professional | $16.54 | $26.93 | $38.43 |