| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $109.46 | $110.79 | $220.90 | |
Aetna
| Professional | $193.29 | $276.13 | $307.33 | |
BCBS
| Professional | $252.59 | $402.78 | $623.79 | |
Cigna
| Facility | $87.34 | $334.42 | $3,813.62 | |
Cigna
| Professional | $1,398.52 | $1,398.52 | $1,398.52 | |
Lucent Health
| Facility | $637.91 | $2,894.15 | $2,894.15 | |
Lucent Health
| Professional | $1,521.55 | $1,555.83 | $2,509.65 | |
United
| Professional | $291.02 | $353.75 | $620.65 |