| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $117.49 | $125.89 | $169.82 | |
Aetna
| Professional | $104.71 | $123.03 | $186.21 | |
BCBS
| Professional | $81.28 | $158.49 | $158.49 | |
Cigna
| Facility | $102.33 | $323.59 | $562.34 | |
Cigna
| Professional | $158.49 | $158.49 | $158.49 | |
Lucent Health
| Facility | $741.31 | $741.31 | $741.31 | |
Lucent Health
| Professional | $776.25 | $1,174.90 | $1,174.90 | |
United
| Facility | $56.23 | $158.49 | $158.49 | |
United
| Professional | $66.07 | $93.33 | $158.49 |