| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.85 | $0.85 | $1.49 | |
Aetna
| Professional | $0.82 | $0.85 | $1.00 | |
BCBS
| Professional | $62.31 | $62.31 | $62.31 | |
Cigna
| Facility | $85.00 | $85.00 | $85.00 | |
Cigna
| Professional | $56.29 | $56.29 | $56.29 | |
Lucent Health
| Facility | $80.00 | $250.75 | $250.75 | |
Lucent Health
| Professional | $60.62 | $141.37 | $141.37 |