| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.26 | $34.26 | $34.26 | |
Aetna
| Professional | $27.86 | $34.72 | $42.41 | |
BCBS
| Professional | $39.14 | $46.96 | $55.11 | |
Cigna
| Facility | $34.40 | $34.40 | $34.40 | |
Cigna
| Professional | $29.25 | $34.40 | $40.90 | |
Lucent Health
| Facility | $80.00 | $247.01 | $247.19 | |
United
| Facility | $2.94 | $22.82 | $36.13 | |
United
| Professional | $18.18 | $30.32 | $46.37 |