| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.50 | $12.50 | $12.50 | |
Aetna
| Professional | $10.17 | $12.67 | $15.62 | |
BCBS
| Professional | $11.94 | $15.92 | $16.16 | |
Cigna
| Facility | $13.24 | $13.24 | $13.24 | |
Cigna
| Professional | $11.25 | $13.24 | $15.97 | |
Lucent Health
| Facility | $40.68 | $93.55 | $93.62 | |
United
| Professional | $6.64 | $10.72 | $15.46 |