| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $71.52 | $95.41 | $155.94 | |
Aetna
| Professional | $71.52 | $71.52 | $88.80 | |
BCBS
| Professional | $114.00 | $114.00 | $114.00 | |
Cigna
| Facility | $71.52 | $71.52 | $71.52 | |
Cigna
| Professional | $71.52 | $71.52 | $71.52 | |
Lucent Health
| Facility | $228.00 | $407.85 | $407.85 | |
United
| Professional | $71.52 | $71.52 | $181.61 |