| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.85 | $21.07 | $98.71 | |
Aetna
| Professional | $2.21 | $2.22 | $4.11 | |
BCBS
| Professional | $3.65 | $3.65 | $3.65 | |
Cigna
| Facility | $2.21 | $2.21 | $2.21 | |
Cigna
| Professional | $2.21 | $2.21 | $2.21 | |
Lucent Health
| Facility | $75.00 | $100.00 | $100.00 | |
United
| Professional | $2.21 | $2.21 | $8.17 |