| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.01 | $5.62 | $10.00 | |
Aetna
| Professional | $5.01 | $5.01 | $50.12 | |
BCBS
| Professional | $489.78 | $489.78 | $489.78 | |
Cigna
| Professional | $158.49 | $158.49 | $158.49 | |
Lucent Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Professional | $114.82 | $125.89 | $125.89 |