| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $75.02 | $105.29 | $107.17 | |
BCBS
| Professional | $84.90 | $142.69 | $177.67 | |
Cigna
| Facility | $117.06 | $117.06 | $117.06 | |
Cigna
| Professional | $475.54 | $475.54 | $475.54 | |
Lucent Health
| Facility | $250.82 | $281.80 | $528.34 | |
Lucent Health
| Professional | $778.48 | $785.20 | $852.08 | |
United
| Professional | $112.79 | $133.58 | $194.22 |