| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.91 | $5.84 | $9.53 | |
Aetna
| Professional | $3.91 | $3.91 | $5.43 | |
BCBS
| Professional | $17.16 | $17.16 | $17.16 | |
Cigna
| Facility | $3.91 | $3.91 | $3.91 | |
Cigna
| Professional | $3.91 | $3.91 | $3.91 | |
Lucent Health
| Facility | $75.00 | $85.00 | $100.00 | |
United
| Professional | $3.91 | $3.91 | $15.30 |