| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.09 | $20.09 | $20.09 | |
Aetna
| Professional | $16.34 | $20.35 | $25.10 | |
BCBS
| Professional | $19.64 | $24.50 | $29.40 | |
Cigna
| Facility | $21.16 | $21.16 | $21.16 | |
Cigna
| Professional | $17.98 | $21.16 | $25.46 | |
Lucent Health
| Facility | $65.75 | $151.87 | $153.85 | |
United
| Professional | $10.66 | $17.22 | $23.26 |