| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.58 | $20.25 | $33.11 | |
Aetna
| Professional | $16.07 | $16.07 | $18.85 | |
BCBS
| Professional | $78.55 | $78.55 | $78.55 | |
Cigna
| Facility | $16.07 | $16.07 | $16.07 | |
Cigna
| Professional | $16.07 | $16.07 | $16.07 | |
Lucent Health
| Facility | $86.40 | $411.35 | $411.35 | |
United
| Professional | $16.07 | $16.07 | $72.48 |