| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $71.23 | $118.74 | $303.97 | |
Aetna
| Professional | $71.23 | $74.09 | $90.24 | |
BCBS
| Professional | $71.23 | $132.99 | $389.50 | |
Cigna
| Facility | $35.10 | $204.43 | $297.99 | |
Cigna
| Professional | $42.82 | $65.31 | $257.27 | |
Lucent Health
| Facility | $165.28 | $451.20 | $451.20 | |
Lucent Health
| Professional | $474.95 | $474.95 | $712.43 | |
United
| Professional | $39.90 | $56.99 | $94.99 |