| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $69.73 | $125.20 | $170.51 | |
Aetna
| Professional | $69.73 | $69.73 | $99.67 | |
BCBS
| Professional | $82.37 | $93.25 | $112.50 | |
Cigna
| Facility | $69.73 | $69.73 | $95.63 | |
Cigna
| Professional | $69.73 | $69.73 | $95.63 | |
Lucent Health
| Facility | $200.27 | $350.53 | $350.53 | |
United
| Professional | $27.89 | $69.73 | $82.37 |