| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.37 | $14.37 | $14.37 | |
Aetna
| Professional | $14.37 | $14.37 | $14.37 | |
BCBS
| Professional | $13.61 | $16.32 | $18.14 | |
Cigna
| Facility | $14.21 | $14.21 | $14.21 | |
Cigna
| Professional | $12.08 | $12.08 | $14.21 | |
Lucent Health
| Facility | $80.00 | $90.00 | $90.00 | |
United
| Professional | $7.26 | $10.88 | $15.77 |