| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $66.07 | $66.07 | $83.18 | |
Aetna
| Professional | $46.77 | $66.07 | $102.33 | |
BCBS
| Professional | $58.88 | $95.50 | $114.82 | |
Cigna
| Facility | $81.28 | $104.71 | $125.89 | |
Cigna
| Professional | $97.72 | $97.72 | $134.90 | |
Lucent Health
| Facility | $562.34 | $562.34 | $562.34 | |
Lucent Health
| Professional | $562.34 | $562.34 | $562.34 | |
United
| Facility | $74.13 | $74.13 | $74.13 | |
United
| Professional | $43.65 | $56.23 | $95.50 |