| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $82.91 | $82.91 | $82.91 | |
Aetna
| Professional | $67.43 | $84.01 | $103.93 | |
BCBS
| Professional | $90.95 | $114.49 | $121.26 | |
Cigna
| Facility | $45.00 | $45.00 | $45.00 | |
Cigna
| Professional | $38.25 | $45.00 | $100.67 | |
Lucent Health
| Facility | $131.43 | $615.09 | $615.09 | |
United
| Professional | $44.00 | $70.97 | $99.75 |