| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.57 | $83.18 | $112.20 | |
Aetna
| Professional | $63.10 | $63.10 | $75.86 | |
BCBS
| Professional | $63.10 | $64.57 | $64.57 | |
Cigna
| Facility | $64.57 | $64.57 | $64.57 | |
Cigna
| Professional | $64.57 | $64.57 | $64.57 | |
Lucent Health
| Facility | $316.23 | $316.23 | $316.23 | |
United
| Facility | $57.54 | $60.26 | $70.79 | |
United
| Professional | $64.57 | $64.57 | $117.49 |