| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $91.67 | $169.59 | $427.77 | |
Aetna
| Professional | $91.67 | $95.33 | $116.11 | |
BCBS
| Professional | $78.45 | $150.88 | $286.69 | |
Cigna
| Facility | $79.44 | $269.22 | $472.95 | |
Cigna
| Professional | $55.62 | $90.28 | $240.94 | |
Lucent Health
| Facility | $212.66 | $580.54 | $580.54 | |
Lucent Health
| Professional | $611.10 | $611.10 | $916.65 | |
United
| Professional | $51.33 | $75.45 | $150.88 |