| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.28 | $42.28 | $115.42 | |
Aetna
| Professional | $42.28 | $42.28 | $42.28 | |
BCBS
| Professional | $21.99 | $42.28 | $67.65 | |
Cigna
| Facility | $27.89 | $29.18 | $150.82 | |
Cigna
| Professional | $42.28 | $42.28 | $52.86 | |
Lucent Health
| Facility | $80.00 | $200.83 | $200.83 | |
United
| Professional | $15.91 | $22.67 | $44.22 |