| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.71 | $45.71 | $45.71 | |
Aetna
| Professional | $37.15 | $45.71 | $52.48 | |
BCBS
| Professional | $54.95 | $63.10 | $75.86 | |
Cigna
| Facility | $45.71 | $45.71 | $45.71 | |
Cigna
| Professional | $38.90 | $45.71 | $54.95 | |
Lucent Health
| Facility | $72.44 | $331.13 | $331.13 | |
United
| Facility | $4.27 | $32.36 | $50.12 | |
United
| Professional | $29.51 | $44.67 | $64.57 |