| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $277.12 | $2,678.00 | $7,602.00 | |
Aetna
| Professional | $85.50 | $138.06 | $200.94 | |
BCBS
| Facility | $110.00 | $147.00 | $2,367.00 | |
BCBS
| Professional | $103.21 | $166.64 | $271.45 | |
Cigna
| Professional | $106.03 | $169.36 | $330.55 | |
Lucent Health
| Facility | $482.93 | $519.32 | $26,542.00 | |
Lucent Health
| Professional | $1,775.00 | $1,925.20 | $1,925.20 | |
United
| Facility | $294.00 | $786.00 | $2,577.00 | |
United
| Professional | $168.25 | $200.03 | $357.07 |