| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.60 | $113.74 | $366.18 | |
Aetna
| Professional | $100.60 | $104.62 | $114.01 | |
BCBS
| Professional | $69.75 | $177.05 | $264.24 | |
Cigna
| Facility | $89.82 | $289.12 | $479.36 | |
Cigna
| Professional | $134.13 | $134.13 | $646.51 | |
Lucent Health
| Facility | $233.39 | $637.12 | $637.12 | |
Lucent Health
| Professional | $667.97 | $667.97 | $1,005.98 | |
United
| Professional | $56.33 | $80.48 | $134.13 |