| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.00 | $37.79 | $53.70 | |
Aetna
| Professional | $28.91 | $30.00 | $30.72 | |
BCBS
| Professional | $33.00 | $36.14 | $39.60 | |
Cigna
| Facility | $30.72 | $30.72 | $30.72 | |
Cigna
| Professional | $30.72 | $30.72 | $30.72 | |
Lucent Health
| Facility | $75.00 | $159.00 | $159.00 | |
Lucent Health
| Professional | $722.89 | $722.89 | $722.89 | |
United
| Professional | $28.50 | $30.00 | $33.40 |