| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $103.22 | $103.22 | $129.02 | |
Aetna
| Professional | $54.68 | $109.38 | $135.34 | |
BCBS
| Professional | $42.45 | $94.53 | $454.63 | |
Cigna
| Facility | $249.29 | $265.63 | $374.61 | |
Lucent Health
| Facility | $133.00 | $332.55 | $349.35 | |
Lucent Health
| Professional | $1,033.75 | $1,033.75 | $1,033.75 | |
United
| Professional | $36.38 | $175.56 | $251.34 |