| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $419.15 | $1,818.37 | $4,069.00 | |
BCBS
| Facility | $888.00 | $2,085.00 | $2,906.00 | |
Cigna
| Facility | $455.00 | $925.53 | $5,980.00 | |
Lucent Health
| Facility | $55.00 | $1,560.17 | $1,560.17 | |
United
| Facility | $875.00 | $2,257.00 | $4,099.00 |