| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $361.61 | $408.85 | $1,316.24 | |
Aetna
| Professional | $361.61 | $361.61 | $361.61 | |
BCBS
| Professional | $250.71 | $675.00 | $949.82 | |
Cigna
| Facility | $186.91 | $957.04 | $1,721.01 | |
Cigna
| Professional | $482.14 | $482.14 | $2,323.91 | |
Lucent Health
| Facility | $838.92 | $2,290.17 | $2,290.17 | |
Lucent Health
| Professional | $2,401.06 | $2,401.06 | $3,616.05 | |
United
| Professional | $87.07 | $124.39 | $482.14 |