| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $85.82 | $107.28 | $360.45 | |
Aetna
| Professional | $85.82 | $89.26 | $97.27 | |
BCBS
| Professional | $59.50 | $151.05 | $225.43 | |
Cigna
| Facility | $65.42 | $235.25 | $408.04 | |
Cigna
| Professional | $114.43 | $114.43 | $551.54 | |
Lucent Health
| Facility | $199.11 | $543.54 | $543.54 | |
Lucent Health
| Professional | $572.15 | $572.15 | $858.23 | |
United
| Professional | $48.06 | $68.66 | $114.43 |