| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.03 | $19.54 | $31.94 | |
Aetna
| Professional | $15.04 | $15.04 | $18.19 | |
BCBS
| Professional | $18.00 | $18.00 | $18.00 | |
Cigna
| Facility | $15.04 | $15.04 | $15.04 | |
Cigna
| Professional | $15.04 | $15.04 | $15.04 | |
Lucent Health
| Facility | $75.00 | $100.00 | $100.00 | |
United
| Professional | $15.04 | $15.04 | $15.30 |