| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.35 | $43.30 | $67.11 | |
Aetna
| Professional | $38.35 | $47.01 | $64.95 | |
BCBS
| Professional | $55.30 | $73.73 | $174.74 | |
Cigna
| Professional | $30.08 | $30.08 | $30.08 | |
Lucent Health
| Facility | $123.87 | $345.06 | $350.22 | |
Lucent Health
| Professional | $552.98 | $648.41 | $674.35 | |
United
| Professional | $24.52 | $34.00 | $43.20 |