| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $115.00 | $379.84 | $710.30 | |
Aetna
| Professional | $317.80 | $401.68 | $558.24 | |
BCBS
| Professional | $63.50 | $109.17 | $179.72 | |
Cigna
| Facility | $87.47 | $121.10 | $412.73 | |
Cigna
| Professional | $57.90 | $90.63 | $152.85 | |
Lucent Health
| Facility | $164.43 | $846.11 | $846.11 | |
Lucent Health
| Professional | $846.11 | $846.11 | $846.11 | |
United
| Professional | $77.28 | $483.08 | $963.39 |