| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $295.12 | $309.03 | $426.58 | |
Aetna
| Professional | $257.04 | $295.12 | $446.68 | |
BCBS
| Professional | $251.19 | $389.05 | $389.05 | |
Cigna
| Facility | $251.19 | $794.33 | $1,380.38 | |
Cigna
| Professional | $446.68 | $478.63 | $588.84 | |
Lucent Health
| Facility | $1,862.09 | $1,862.09 | $1,862.09 | |
United
| Facility | $138.04 | $234.42 | $389.05 | |
United
| Professional | $165.96 | $234.42 | $389.05 |