| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $93.86 | $103.43 | $192.41 | |
Aetna
| Professional | $92.03 | $100.20 | $135.11 | |
BCBS
| Professional | $76.66 | $108.22 | $166.35 | |
Cigna
| Facility | $55.00 | $70.00 | $105.00 | |
Cigna
| Professional | $76.78 | $116.27 | $196.38 | |
Lucent Health
| Facility | $222.26 | $438.98 | $486.50 | |
Lucent Health
| Professional | $616.10 | $616.10 | $784.58 | |
United
| Facility | $105.14 | $105.14 | $135.81 | |
United
| Professional | $76.66 | $105.74 | $203.67 |