| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.37 | $29.01 | $167.95 | |
Aetna
| Professional | $19.52 | $19.52 | $21.02 | |
BCBS
| Professional | $24.31 | $24.31 | $24.31 | |
Cigna
| Facility | $19.52 | $19.52 | $19.52 | |
Cigna
| Professional | $19.52 | $19.52 | $19.52 | |
Lucent Health
| Facility | $75.00 | $100.00 | $100.00 | |
United
| Professional | $19.52 | $19.52 | $20.67 |