| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.32 | $17.32 | $18.93 | |
Aetna
| Professional | $16.25 | $17.87 | $32.44 | |
BCBS
| Professional | $22.95 | $34.65 | $34.65 | |
Cigna
| Facility | $21.38 | $21.38 | $28.16 | |
Cigna
| Professional | $15.61 | $15.61 | $21.38 | |
Lucent Health
| Facility | $75.00 | $178.31 | $178.31 | |
Lucent Health
| Professional | $192.88 | $192.88 | $280.20 | |
United
| Professional | $12.81 | $18.41 | $25.71 |