| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.15 | $625.72 | $863.51 | |
Aetna
| Professional | $30.01 | $30.30 | $334.62 | |
BCBS
| Professional | $30.50 | $30.50 | $30.50 | |
Cigna
| Facility | $30.01 | $30.01 | $30.01 | |
Cigna
| Professional | $30.01 | $30.01 | $30.01 | |
Lucent Health
| Facility | $75.00 | $150.05 | $150.05 | |
United
| Professional | $30.01 | $30.01 | $33.25 |