| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.71 | $48.98 | $67.61 | |
Aetna
| Professional | $40.74 | $47.86 | $70.79 | |
BCBS
| Professional | $40.74 | $61.66 | $61.66 | |
Cigna
| Facility | $40.74 | $128.82 | $223.87 | |
Cigna
| Professional | $70.79 | $89.13 | $95.50 | |
Lucent Health
| Facility | $295.12 | $295.12 | $295.12 | |
United
| Facility | $22.39 | $42.66 | $61.66 | |
United
| Professional | $26.30 | $37.15 | $61.66 |