| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.12 | $1.48 | $2.00 | |
Aetna
| Professional | $1.00 | $1.00 | $1.12 | |
BCBS
| Professional | $1.12 | $1.12 | $1.12 | |
Cigna
| Facility | $1.12 | $1.12 | $1.12 | |
Cigna
| Professional | $1.12 | $1.12 | $1.12 | |
Lucent Health
| Facility | $85.11 | $85.11 | $85.11 | |
United
| Facility | $1.12 | $1.26 | $1.45 | |
United
| Professional | $1.12 | $1.12 | $1.95 |