| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44.11 | $72.52 | $7,193.60 | |
Aetna
| Professional | $44.11 | $44.11 | $53.83 | |
BCBS
| Professional | $70.20 | $70.20 | $70.20 | |
Cigna
| Facility | $44.11 | $44.11 | $44.11 | |
Cigna
| Professional | $44.11 | $44.11 | $44.11 | |
Lucent Health
| Facility | $75.00 | $290.50 | $290.50 | |
United
| Professional | $44.11 | $44.11 | $110.54 |