| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.51 | $22.76 | $37.21 | |
Aetna
| Professional | $18.44 | $18.44 | $21.19 | |
BCBS
| Professional | $21.40 | $21.40 | $21.40 | |
Cigna
| Facility | $18.44 | $18.44 | $18.44 | |
Cigna
| Professional | $18.44 | $18.44 | $18.44 | |
Lucent Health
| Facility | $75.00 | $113.10 | $113.10 | |
United
| Professional | $18.44 | $18.44 | $22.74 |