| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.96 | $104.66 | $2,518.88 | |
Aetna
| Professional | $48.96 | $48.96 | $58.12 | |
BCBS
| Professional | $85.05 | $85.05 | $85.05 | |
Cigna
| Facility | $48.96 | $48.96 | $48.96 | |
Cigna
| Professional | $48.96 | $48.96 | $48.96 | |
Lucent Health
| Facility | $75.00 | $241.75 | $244.80 | |
United
| Professional | $48.96 | $48.96 | $87.80 |