| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $49.32 | $49.32 | $49.32 | |
Aetna
| Professional | $40.11 | $49.98 | $59.74 | |
BCBS
| Professional | $58.06 | $70.98 | $77.41 | |
Cigna
| Facility | $48.69 | $48.69 | $48.69 | |
Cigna
| Professional | $41.39 | $48.69 | $58.12 | |
Lucent Health
| Facility | $99.83 | $349.46 | $349.46 | |
United
| Professional | $26.18 | $43.07 | $72.15 |