| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $84.02 | $155.44 | $314.77 | |
Aetna
| Professional | $84.02 | $87.38 | $89.62 | |
BCBS
| Professional | $58.25 | $72.81 | $179.23 | |
Cigna
| Facility | $73.90 | $241.67 | $320.36 | |
Cigna
| Professional | $128.44 | $136.69 | $170.88 | |
Lucent Health
| Facility | $194.91 | $532.10 | $532.10 | |
United
| Professional | $47.05 | $67.20 | $112.02 |