| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.51 | $42.65 | $219.02 | |
Aetna
| Professional | $24.50 | $24.50 | $27.21 | |
BCBS
| Professional | $28.32 | $28.32 | $28.32 | |
Cigna
| Facility | $24.50 | $24.50 | $24.50 | |
Cigna
| Professional | $24.50 | $24.50 | $24.50 | |
Lucent Health
| Facility | $75.00 | $122.50 | $125.10 | |
United
| Professional | $18.46 | $24.50 | $24.50 |