| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $41.48 | $41.48 | $41.48 | |
Aetna
| Professional | $29.21 | $41.72 | $51.84 | |
BCBS
| Professional | $40.63 | $54.02 | $54.35 | |
Cigna
| Facility | $44.42 | $44.42 | $44.42 | |
Cigna
| Professional | $37.76 | $44.42 | $52.54 | |
Lucent Health
| Facility | $100.00 | $317.39 | $317.54 | |
United
| Professional | $22.01 | $33.72 | $50.48 |