| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.63 | $99.85 | $326.00 | |
Aetna
| Professional | $14.40 | $31.10 | $60.18 | |
BCBS
| Professional | $31.10 | $44.10 | $73.79 | |
Cigna
| Facility | $55.00 | $65.00 | $95.00 | |
Cigna
| Professional | $22.13 | $51.12 | $114.34 | |
Lucent Health
| Facility | $85.96 | $214.95 | $248.05 | |
Lucent Health
| Professional | $309.81 | $309.81 | $390.60 | |
United
| Professional | $31.80 | $42.95 | $50.53 |