| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $117.56 | $132.91 | $427.93 | |
Aetna
| Professional | $117.56 | $122.27 | $133.24 | |
BCBS
| Professional | $81.51 | $206.91 | $308.80 | |
Cigna
| Facility | $104.97 | $338.04 | $560.03 | |
Cigna
| Professional | $156.75 | $156.75 | $755.54 | |
Lucent Health
| Facility | $272.75 | $744.56 | $744.56 | |
Lucent Health
| Professional | $780.62 | $780.62 | $1,175.63 | |
United
| Professional | $65.84 | $94.05 | $210.05 |