| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.12 | $28.18 | $107.15 | |
Aetna
| Professional | $21.88 | $25.70 | $39.81 | |
BCBS
| Professional | $17.78 | $33.88 | $33.88 | |
Cigna
| Facility | $21.88 | $69.18 | $120.23 | |
Cigna
| Professional | $33.88 | $33.88 | $33.88 | |
Lucent Health
| Facility | $162.18 | $162.18 | $162.18 | |
Lucent Health
| Professional | $169.82 | $251.19 | $251.19 | |
United
| Facility | $12.30 | $33.88 | $33.88 | |
United
| Professional | $14.13 | $20.42 | $33.88 |