| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.83 | $25.78 | $39.95 | |
Aetna
| Professional | $22.83 | $27.99 | $39.95 | |
BCBS
| Professional | $32.93 | $43.90 | $104.04 | |
Cigna
| Professional | $17.91 | $17.91 | $17.91 | |
Lucent Health
| Facility | $85.00 | $205.45 | $208.53 | |
Lucent Health
| Professional | $329.25 | $394.00 | $409.76 | |
United
| Professional | $14.60 | $20.60 | $25.72 |