| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.59 | $36.22 | $59.20 | |
Aetna
| Professional | $25.59 | $25.59 | $33.71 | |
BCBS
| Professional | $35.81 | $35.81 | $35.81 | |
Cigna
| Facility | $25.59 | $25.59 | $25.59 | |
Cigna
| Professional | $25.59 | $25.59 | $25.59 | |
Lucent Health
| Facility | $75.00 | $108.44 | $108.44 | |
United
| Professional | $25.59 | $25.59 | $30.44 |