| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $56.98 | $56.98 | $56.98 | |
Aetna
| Professional | $40.11 | $56.98 | $69.59 | |
BCBS
| Professional | $66.33 | $81.59 | $88.44 | |
Cigna
| Facility | $55.97 | $55.97 | $72.16 | |
Cigna
| Professional | $47.57 | $55.97 | $73.50 | |
Lucent Health
| Facility | $112.54 | $401.40 | $401.40 | |
United
| Professional | $30.24 | $52.32 | $78.30 |