| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.97 | $136.08 | $1,664.30 | |
Aetna
| Professional | $4.86 | $4.86 | $6.01 | |
BCBS
| Professional | $12.01 | $12.01 | $12.01 | |
Cigna
| Facility | $4.86 | $4.86 | $4.86 | |
Cigna
| Professional | $4.86 | $4.86 | $4.86 | |
Lucent Health
| Facility | $75.00 | $100.00 | $100.00 | |
United
| Professional | $4.86 | $4.86 | $11.04 |