| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.76 | $14.01 | $22.91 | |
Aetna
| Professional | $10.76 | $10.76 | $13.04 | |
BCBS
| Professional | $14.89 | $14.89 | $14.89 | |
Cigna
| Facility | $10.76 | $10.76 | $16.97 | |
Cigna
| Professional | $10.76 | $10.76 | $10.76 | |
Lucent Health
| Facility | $75.00 | $85.00 | $100.00 | |
United
| Professional | $10.76 | $10.76 | $13.04 |