| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.66 | $13.07 | $18.39 | |
Aetna
| Professional | $8.66 | $8.66 | $10.76 | |
BCBS
| Professional | $8.89 | $10.07 | $18.19 | |
Cigna
| Facility | $8.66 | $8.66 | $17.63 | |
Cigna
| Professional | $8.66 | $8.66 | $17.63 | |
Lucent Health
| Facility | $20.74 | $100.00 | $100.00 | |
United
| Professional | $3.46 | $8.66 | $9.52 |