| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.88 | $24.55 | $38.90 | |
Aetna
| Professional | $20.89 | $25.70 | $42.66 | |
BCBS
| Professional | $37.15 | $37.15 | $39.81 | |
Cigna
| Facility | $30.90 | $30.90 | $30.90 | |
Cigna
| Professional | $22.39 | $22.39 | $30.90 | |
Lucent Health
| Facility | $316.23 | $316.23 | $316.23 | |
Lucent Health
| Professional | $316.23 | $407.38 | $407.38 | |
United
| Facility | $15.49 | $24.55 | $33.11 | |
United
| Professional | $16.60 | $23.99 | $35.48 |