| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $117.68 | $206.68 | $542.55 | |
Aetna
| Professional | $99.06 | $111.72 | $119.17 | |
BCBS
| Professional | $103.34 | $196.63 | $317.98 | |
Cigna
| Facility | $94.63 | $306.70 | $568.39 | |
Cigna
| Professional | $198.74 | $198.74 | $957.93 | |
Lucent Health
| Facility | $345.81 | $944.02 | $944.02 | |
Lucent Health
| Professional | $989.73 | $989.73 | $1,490.55 | |
United
| Professional | $62.56 | $99.31 | $198.74 |