| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $91.20 | $151.36 | $426.58 | |
Aetna
| Professional | $81.28 | $100.00 | $186.21 | |
BCBS
| Professional | $63.10 | $134.90 | $151.36 | |
Cigna
| Facility | $77.62 | $257.04 | $467.74 | |
Cigna
| Professional | $56.23 | $81.28 | $223.87 | |
Lucent Health
| Facility | $575.44 | $575.44 | $575.44 | |
Lucent Health
| Professional | $616.60 | $912.01 | $912.01 | |
United
| Facility | $53.70 | $123.03 | $123.03 | |
United
| Professional | $51.29 | $75.86 | $134.90 |