| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67.61 | $112.20 | $199.53 | |
Aetna
| Professional | $58.88 | $85.11 | $104.71 | |
BCBS
| Professional | $61.66 | $95.50 | $141.25 | |
Cigna
| Facility | $114.82 | $114.82 | $177.83 | |
Lucent Health
| Facility | $562.34 | $562.34 | $562.34 | |
Lucent Health
| Professional | $562.34 | $691.83 | $691.83 | |
United
| Facility | $104.71 | $104.71 | $104.71 | |
United
| Professional | $67.61 | $91.20 | $151.36 |