| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.64 | $7.42 | $12.13 | |
Aetna
| Professional | $5.64 | $5.64 | $6.91 | |
BCBS
| Professional | $7.70 | $7.70 | $7.70 | |
Cigna
| Facility | $5.64 | $5.64 | $5.64 | |
Cigna
| Professional | $5.64 | $5.64 | $5.64 | |
Lucent Health
| Facility | $75.00 | $85.00 | $100.00 | |
United
| Professional | $5.64 | $5.64 | $6.72 |