| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.03 | $17.36 | $18.96 | |
Aetna
| Professional | $17.03 | $18.32 | $32.49 | |
BCBS
| Professional | $22.99 | $34.71 | $34.71 | |
Cigna
| Facility | $24.80 | $24.80 | $24.80 | |
Cigna
| Professional | $18.10 | $18.10 | $24.80 | |
Lucent Health
| Facility | $77.91 | $178.59 | $178.59 | |
Lucent Health
| Professional | $193.12 | $193.12 | $280.50 | |
United
| Professional | $12.83 | $18.44 | $25.43 |