| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.44 | $72.44 | $72.44 | |
Aetna
| Professional | $58.88 | $72.44 | $83.18 | |
BCBS
| Professional | $83.18 | $97.72 | $117.49 | |
Cigna
| Facility | $74.13 | $74.13 | $74.13 | |
Cigna
| Professional | $63.10 | $74.13 | $89.13 | |
Lucent Health
| Facility | $114.82 | $537.03 | $537.03 | |
United
| Facility | $6.46 | $48.98 | $81.28 | |
United
| Professional | $38.90 | $64.57 | $89.13 |