| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $68.75 | $85.94 | $295.14 | |
Aetna
| Professional | $68.75 | $71.48 | $87.08 | |
BCBS
| Professional | $58.85 | $109.99 | $215.02 | |
Cigna
| Facility | $58.23 | $188.74 | $327.37 | |
Cigna
| Professional | $91.66 | $91.66 | $441.80 | |
Lucent Health
| Facility | $159.49 | $435.39 | $435.39 | |
Lucent Health
| Professional | $458.30 | $458.30 | $687.45 | |
United
| Professional | $38.50 | $56.59 | $113.17 |