| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $195.38 | $220.90 | $711.17 | |
Aetna
| Professional | $195.38 | $203.19 | $247.48 | |
BCBS
| Professional | $135.46 | $343.86 | $513.19 | |
Cigna
| Facility | $171.87 | $561.46 | $930.65 | |
Cigna
| Professional | $260.50 | $260.50 | $1,255.60 | |
Lucent Health
| Facility | $453.27 | $1,237.38 | $1,237.38 | |
Lucent Health
| Professional | $1,297.29 | $1,297.29 | $1,953.75 | |
United
| Professional | $109.41 | $156.30 | $260.50 |