| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.62 | $47.91 | $143.90 | |
Aetna
| Professional | $35.52 | $36.85 | $36.85 | |
BCBS
| Professional | $58.80 | $58.80 | $58.80 | |
Cigna
| Facility | $37.74 | $37.74 | $37.74 | |
Cigna
| Professional | $37.74 | $37.74 | $37.74 | |
Lucent Health
| Facility | $90.84 | $144.46 | $282.38 | |
United
| Professional | $37.00 | $37.00 | $163.44 |