| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $234.21 | $451.25 | $772.89 | |
Aetna
| Professional | $179.95 | $246.04 | $331.21 | |
BCBS
| Professional | $209.60 | $269.48 | $524.00 | |
Cigna
| Facility | $459.00 | $586.13 | $975.00 | |
Cigna
| Professional | $205.26 | $340.62 | $597.30 | |
Lucent Health
| Facility | $1,623.04 | $2,042.80 | $2,165.12 | |
Lucent Health
| Professional | $1,543.86 | $1,543.86 | $1,894.80 | |
United
| Professional | $148.22 | $282.27 | $497.93 |