| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.38 | $15.11 | $23.42 | |
Aetna
| Professional | $13.38 | $17.48 | $58.00 | |
BCBS
| Professional | $19.29 | $25.72 | $60.96 | |
Cigna
| Professional | $10.49 | $10.49 | $10.49 | |
Lucent Health
| Facility | $52.21 | $142.94 | $158.72 | |
Lucent Health
| Professional | $200.00 | $365.74 | $380.37 | |
United
| Professional | $8.56 | $12.06 | $15.07 |