| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $106.97 | $120.95 | $389.38 | |
Aetna
| Professional | $106.97 | $111.25 | $135.50 | |
BCBS
| Professional | $74.17 | $188.27 | $280.98 | |
Cigna
| Facility | $81.55 | $293.89 | $509.76 | |
Cigna
| Professional | $142.63 | $142.63 | $687.48 | |
Lucent Health
| Facility | $248.18 | $677.49 | $677.49 | |
Lucent Health
| Professional | $713.15 | $713.15 | $1,069.73 | |
United
| Professional | $59.90 | $85.58 | $156.88 |