| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $73.16 | $107.55 | $159.41 | |
Aetna
| Professional | $75.90 | $75.91 | $84.32 | |
BCBS
| Professional | $91.22 | $91.22 | $91.22 | |
Cigna
| Facility | $75.91 | $75.91 | $75.91 | |
Cigna
| Professional | $75.91 | $75.91 | $75.91 | |
Lucent Health
| Facility | $97.61 | $366.90 | $379.55 | |
United
| Professional | $75.91 | $75.91 | $80.48 |