| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.00 | $20.01 | $50.00 | |
BCBS
| Professional | $999.00 | $999.00 | $999.00 | |
Cigna
| Professional | $0.51 | $0.51 | $0.51 | |
Lucent Health
| Facility | $65.00 | $100.00 | $100.00 | |
Lucent Health
| Professional | $33.93 | $33.93 | $33.93 |