| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.64 | $29.64 | $29.64 | |
Aetna
| Professional | $24.11 | $31.22 | $99.43 | |
BCBS
| Professional | $30.71 | $37.26 | $40.95 | |
Cigna
| Facility | $31.91 | $31.91 | $31.91 | |
Cigna
| Professional | $27.12 | $31.91 | $39.89 | |
Lucent Health
| Facility | $64.06 | $228.57 | $228.57 | |
United
| Professional | $15.73 | $24.57 | $39.33 |