| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $63.01 | $66.84 | $85.98 | |
BCBS
| Professional | $56.55 | $66.53 | $66.53 | |
Cigna
| Professional | $69.93 | $69.93 | $69.93 | |
Lucent Health
| Professional | $510.91 | $510.91 | $636.00 | |
Moda Health
| Professional | $83.61 | $98.81 | $136.82 | |
Providence
| Professional | $69.93 | $69.93 | $72.13 | |
United
| Professional | $64.15 | $85.53 | $130.36 | |
Wellpoint
| Professional | $64.87 | $74.58 | $103.15 |