| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $131.83 | $144.54 | $549.54 | |
Aetna
| Professional | $114.82 | $138.04 | $208.93 | |
BCBS
| Professional | $91.20 | $173.78 | $173.78 | |
Cigna
| Facility | $114.82 | $363.08 | $630.96 | |
Cigna
| Professional | $173.78 | $173.78 | $173.78 | |
Lucent Health
| Facility | $831.76 | $831.76 | $831.76 | |
Lucent Health
| Professional | $870.96 | $1,318.26 | $1,318.26 | |
United
| Facility | $63.10 | $173.78 | $173.78 | |
United
| Professional | $74.13 | $104.71 | $173.78 |