| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $206.12 | $233.05 | $750.29 | |
Aetna
| Professional | $206.12 | $214.37 | $261.08 | |
BCBS
| Professional | $142.91 | $384.76 | $541.41 | |
Cigna
| Facility | $184.04 | $592.12 | $980.93 | |
Cigna
| Professional | $274.83 | $274.83 | $1,324.68 | |
Lucent Health
| Facility | $478.20 | $1,305.44 | $1,305.44 | |
Lucent Health
| Professional | $1,368.65 | $1,368.65 | $2,061.23 | |
United
| Professional | $115.43 | $164.90 | $274.83 |