| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.42 | $47.42 | $82.99 | |
Aetna
| Professional | $45.70 | $47.42 | $48.56 | |
BCBS
| Professional | $51.42 | $56.05 | $59.13 | |
Cigna
| Facility | $48.56 | $48.56 | $48.56 | |
Cigna
| Professional | $48.56 | $48.56 | $48.56 | |
Lucent Health
| Facility | $147.22 | $181.78 | $520.84 | |
Lucent Health
| Professional | $486.12 | $548.62 | $625.01 | |
United
| Professional | $54.27 | $57.13 | $57.13 |