| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $112.20 | $117.49 | $524.81 | |
Aetna
| Professional | $100.00 | $120.23 | $177.83 | |
BCBS
| Professional | $85.11 | $165.96 | $199.53 | |
Cigna
| Facility | $74.13 | $309.03 | $562.34 | |
Cigna
| Professional | $199.53 | $199.53 | $199.53 | |
Lucent Health
| Facility | $933.25 | $933.25 | $933.25 | |
Lucent Health
| Professional | $1,000.00 | $1,479.11 | $1,479.11 | |
United
| Facility | $60.26 | $147.91 | $147.91 | |
United
| Professional | $63.10 | $89.13 | $165.96 |