| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $196.82 | $2,011.00 | $7,602.00 | |
Aetna
| Professional | $91.92 | $138.97 | $217.58 | |
BCBS
| Facility | $764.00 | $1,483.00 | $2,244.00 | |
BCBS
| Professional | $108.80 | $175.75 | $289.58 | |
Cigna
| Facility | $30.00 | $30.00 | $30.00 | |
Cigna
| Professional | $112.88 | $172.67 | $296.18 | |
Lucent Health
| Facility | $55.00 | $481.60 | $481.60 | |
Lucent Health
| Professional | $714.32 | $1,143.76 | $1,332.08 | |
United
| Facility | $719.00 | $1,560.00 | $2,914.00 | |
United
| Professional | $143.26 | $204.96 | $357.61 |