| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $186.38 | $210.74 | $678.43 | |
Aetna
| Professional | $186.38 | $186.38 | $198.81 | |
BCBS
| Professional | $129.22 | $328.03 | $489.56 | |
Cigna
| Facility | $126.18 | $492.98 | $887.40 | |
Cigna
| Professional | $248.51 | $248.51 | $1,197.82 | |
Lucent Health
| Facility | $432.41 | $1,180.42 | $1,180.42 | |
Lucent Health
| Professional | $1,242.55 | $1,242.55 | $1,863.83 | |
United
| Professional | $104.37 | $149.11 | $248.51 |