| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $95.50 | $380.19 | $457.09 | |
Aetna
| Professional | $134.90 | $380.19 | $512.86 | |
BCBS
| Professional | $251.19 | $478.63 | $478.63 | |
Cigna
| Facility | $144.54 | $977.24 | $1,380.38 | |
Cigna
| Professional | $478.63 | $478.63 | $478.63 | |
Lucent Health
| Facility | $2,290.87 | $2,290.87 | $2,290.87 | |
Lucent Health
| Professional | $2,398.83 | $3,630.78 | $3,630.78 | |
United
| Facility | $74.13 | $208.93 | $478.63 | |
United
| Professional | $87.10 | $123.03 | $288.40 |