| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $41.15 | $53.50 | $81.48 | |
Aetna
| Professional | $39.65 | $41.15 | $41.15 | |
BCBS
| Professional | $47.25 | $47.25 | $47.25 | |
Cigna
| Facility | $42.14 | $42.14 | $42.14 | |
Cigna
| Professional | $42.14 | $42.14 | $42.14 | |
Lucent Health
| Facility | $75.00 | $202.60 | $212.85 | |
United
| Professional | $33.47 | $41.31 | $41.31 |