| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $122.97 | $153.71 | $527.95 | |
Aetna
| Professional | $122.97 | $127.89 | $155.76 | |
BCBS
| Professional | $105.26 | $202.42 | $384.60 | |
Cigna
| Facility | $104.16 | $337.70 | $585.75 | |
Cigna
| Professional | $163.96 | $163.96 | $790.29 | |
Lucent Health
| Facility | $285.29 | $778.81 | $778.81 | |
Lucent Health
| Professional | $819.80 | $819.80 | $1,229.70 | |
United
| Professional | $68.86 | $121.45 | $202.42 |