| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.46 | $40.00 | $65.39 | |
Aetna
| Professional | $25.46 | $25.46 | $37.22 | |
BCBS
| Professional | $43.19 | $43.19 | $43.19 | |
Cigna
| Facility | $25.46 | $25.46 | $25.46 | |
Cigna
| Professional | $25.46 | $25.46 | $25.46 | |
Lucent Health
| Facility | $75.00 | $181.85 | $181.85 | |
United
| Professional | $25.46 | $25.46 | $37.24 |