| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $150.00 | $169.60 | $546.00 | |
Aetna
| Professional | $150.00 | $156.00 | $190.00 | |
BCBS
| Professional | $104.00 | $264.00 | $394.00 | |
Cigna
| Facility | $136.61 | $430.77 | $714.36 | |
Cigna
| Professional | $200.00 | $200.00 | $964.00 | |
Lucent Health
| Facility | $348.00 | $950.00 | $950.00 | |
Lucent Health
| Professional | $996.00 | $996.00 | $1,500.00 | |
United
| Professional | $84.00 | $120.00 | $200.00 |