| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $112.50 | $140.63 | $472.50 | |
Aetna
| Professional | $112.50 | $117.00 | $142.50 | |
BCBS
| Professional | $78.00 | $198.00 | $295.50 | |
Cigna
| Facility | $85.76 | $308.72 | $535.48 | |
Cigna
| Professional | $150.00 | $150.00 | $723.00 | |
Lucent Health
| Facility | $261.00 | $712.50 | $712.50 | |
Lucent Health
| Professional | $750.00 | $750.00 | $1,125.00 | |
United
| Professional | $63.00 | $90.00 | $150.00 |