| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43.73 | $51.31 | $103.29 | |
Aetna
| Professional | $51.31 | $51.31 | $51.31 | |
BCBS
| Professional | $26.68 | $71.83 | $101.08 | |
Cigna
| Facility | $33.85 | $52.08 | $228.51 | |
Cigna
| Professional | $51.31 | $51.31 | $247.31 | |
Lucent Health
| Facility | $89.28 | $243.72 | $243.72 | |
Lucent Health
| Professional | $255.52 | $255.52 | $384.83 | |
United
| Professional | $21.55 | $30.79 | $51.31 |