| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $467.74 | $2,290.87 | $4,073.80 | |
Aetna
| Professional | $97.72 | $199.53 | $371.54 | |
BCBS
| Facility | $724.44 | $1,513.56 | $2,238.72 | |
BCBS
| Professional | $123.03 | $245.47 | $478.63 | |
Cigna
| Facility | $30.20 | $30.20 | $30.20 | |
Cigna
| Professional | $107.15 | $234.42 | $426.58 | |
Lucent Health
| Facility | $54.95 | $2,691.53 | $2,691.53 | |
Lucent Health
| Professional | $1,905.46 | $2,238.72 | $2,238.72 | |
United
| Facility | $741.31 | $1,445.44 | $2,884.03 | |
United
| Professional | $93.33 | $204.17 | $407.38 |