| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $66.64 | $105.34 | $156.15 | |
Aetna
| Professional | $66.64 | $66.64 | $86.71 | |
BCBS
| Professional | $106.79 | $106.79 | $106.79 | |
Cigna
| Facility | $66.64 | $66.64 | $66.64 | |
Cigna
| Professional | $66.64 | $66.64 | $66.64 | |
Lucent Health
| Facility | $90.77 | $333.20 | $333.20 | |
United
| Professional | $66.64 | $66.64 | $95.09 |