| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $55.16 | $89.91 | $120.19 | |
Aetna
| Professional | $55.16 | $55.16 | $66.73 | |
BCBS
| Professional | $55.15 | $59.83 | $62.44 | |
Cigna
| Facility | $55.16 | $55.16 | $55.16 | |
Cigna
| Professional | $55.16 | $55.16 | $55.16 | |
Lucent Health
| Facility | $64.20 | $236.62 | $236.62 | |
United
| Facility | $53.59 | $88.42 | $115.22 | |
United
| Professional | $22.06 | $55.16 | $55.16 |