| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $128.82 | $138.04 | $186.21 | |
Aetna
| Professional | $114.82 | $134.90 | $204.17 | |
BCBS
| Professional | $112.20 | $173.78 | $173.78 | |
Cigna
| Facility | $112.20 | $354.81 | $616.60 | |
Cigna
| Professional | $199.53 | $251.19 | $263.03 | |
Lucent Health
| Facility | $812.83 | $812.83 | $812.83 | |
United
| Facility | $61.66 | $120.23 | $173.78 | |
United
| Professional | $72.44 | $104.71 | $173.78 |