| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $131.11 | $163.89 | $550.65 | |
Aetna
| Professional | $131.11 | $136.35 | $166.07 | |
BCBS
| Professional | $90.90 | $230.75 | $344.38 | |
Cigna
| Facility | $117.06 | $376.74 | $624.33 | |
Cigna
| Professional | $174.81 | $174.81 | $842.58 | |
Lucent Health
| Facility | $304.17 | $830.35 | $830.35 | |
Lucent Health
| Professional | $874.05 | $874.05 | $1,311.08 | |
United
| Facility | $174.81 | $174.81 | $218.51 | |
United
| Professional | $73.42 | $104.89 | $175.08 |