| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.53 | $62.89 | $102.81 | |
Aetna
| Professional | $47.53 | $47.53 | $58.54 | |
BCBS
| Professional | $116.55 | $116.55 | $116.55 | |
Cigna
| Facility | $47.52 | $47.52 | $47.52 | |
Cigna
| Professional | $47.52 | $47.52 | $47.52 | |
Lucent Health
| Facility | $99.07 | $237.65 | $240.30 | |
United
| Professional | $47.53 | $47.53 | $97.84 |