| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $54.74 | $112.22 | $145.21 | |
Aetna
| Professional | $54.74 | $60.33 | $111.72 | |
BCBS
| Facility | $108.00 | $143.00 | $388.00 | |
BCBS
| Professional | $58.55 | $76.92 | $122.05 | |
Cigna
| Professional | $68.37 | $91.06 | $136.01 | |
Lucent Health
| Facility | $119.88 | $5,294.00 | $5,294.00 | |
Lucent Health
| Professional | $460.35 | $588.60 | $612.15 | |
United
| Facility | $294.00 | $794.00 | $2,577.00 | |
United
| Professional | $57.82 | $79.02 | $137.72 |