| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.00 | $25.00 | $25.00 | |
Aetna
| Professional | $25.00 | $25.00 | $25.00 | |
BCBS
| Professional | $37.40 | $37.40 | $37.40 | |
Cigna
| Facility | $30.80 | $32.74 | $32.74 | |
Cigna
| Professional | $23.90 | $23.90 | $32.74 | |
Lucent Health
| Facility | $64.00 | $90.00 | $100.00 | |
Lucent Health
| Professional | $78.59 | $78.59 | $78.59 | |
United
| Professional | $26.80 | $26.80 | $26.80 |