| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.46 | $21.98 | $29.93 | |
Aetna
| Professional | $16.22 | $16.22 | $17.50 | |
BCBS
| Professional | $14.46 | $16.37 | $64.29 | |
Cigna
| Facility | $16.22 | $16.22 | $16.22 | |
Cigna
| Professional | $16.22 | $16.22 | $16.22 | |
Lucent Health
| Facility | $57.78 | $141.51 | $141.51 | |
United
| Professional | $6.49 | $16.22 | $20.28 |