| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.32 | $38.15 | $125.62 | |
Aetna
| Professional | $26.32 | $28.07 | $36.86 | |
BCBS
| Professional | $25.03 | $46.32 | $91.47 | |
Cigna
| Facility | $11.70 | $79.05 | $135.44 | |
Cigna
| Professional | $18.45 | $18.45 | $18.45 | |
Lucent Health
| Facility | $61.06 | $166.68 | $166.68 | |
Lucent Health
| Professional | $175.45 | $175.45 | $263.18 | |
United
| Facility | $28.88 | $28.88 | $35.09 | |
United
| Professional | $14.74 | $24.07 | $48.14 |