| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $131.47 | $131.47 | $131.47 | |
Aetna
| Professional | $106.93 | $133.22 | $157.80 | |
BCBS
| Professional | $152.47 | $182.96 | $203.29 | |
Cigna
| Facility | $112.73 | $112.73 | $112.73 | |
Cigna
| Professional | $95.82 | $112.73 | $112.73 | |
Lucent Health
| Facility | $182.99 | $955.82 | $990.66 | |
United
| Professional | $56.16 | $91.25 | $155.55 |