| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.38 | $51.38 | $51.38 | |
Aetna
| Professional | $41.79 | $52.06 | $64.28 | |
BCBS
| Professional | $54.75 | $68.91 | $73.00 | |
Cigna
| Facility | $46.80 | $46.80 | $46.80 | |
Cigna
| Professional | $39.78 | $46.80 | $63.10 | |
Lucent Health
| Facility | $105.23 | $380.20 | $380.20 | |
United
| Professional | $27.02 | $42.38 | $55.90 |