| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.22 | $35.22 | $35.22 | |
Aetna
| Professional | $14.75 | $20.14 | $25.16 | |
BCBS
| Professional | $12.59 | $18.11 | $30.72 | |
Cigna
| Facility | $20.25 | $20.25 | $20.25 | |
Cigna
| Professional | $15.18 | $15.18 | $15.18 | |
Lucent Health
| Facility | $77.47 | $77.76 | $77.76 | |
Lucent Health
| Professional | $96.34 | $107.17 | $139.35 | |
United
| Professional | $12.44 | $17.05 | $31.51 |