| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.91 | $29.51 | $39.81 | |
Aetna
| Professional | $21.88 | $21.88 | $27.54 | |
BCBS
| Professional | $22.91 | $22.91 | $35.48 | |
Cigna
| Facility | $22.91 | $22.91 | $22.91 | |
Cigna
| Professional | $22.91 | $22.91 | $22.91 | |
Lucent Health
| Facility | $109.65 | $109.65 | $109.65 | |
United
| Professional | $22.91 | $22.91 | $31.62 |