| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.27 | $46.37 | $123.00 | |
Aetna
| Professional | $22.05 | $45.52 | $63.40 | |
BCBS
| Professional | $25.15 | $47.65 | $91.94 | |
Cigna
| Facility | $37.15 | $37.15 | $37.15 | |
Cigna
| Professional | $24.77 | $49.03 | $88.30 | |
Lucent Health
| Facility | $102.96 | $111.20 | $111.20 | |
Lucent Health
| Professional | $199.07 | $326.08 | $444.38 | |
United
| Professional | $32.70 | $55.00 | $95.41 |