| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $131.11 | $218.51 | $559.39 | |
Aetna
| Professional | $131.11 | $136.35 | $166.07 | |
BCBS
| Professional | $90.90 | $174.81 | $244.73 | |
Cigna
| Facility | $82.45 | $422.47 | $548.58 | |
Cigna
| Professional | $78.45 | $116.92 | $332.68 | |
Lucent Health
| Facility | $304.17 | $830.35 | $830.35 | |
Lucent Health
| Professional | $874.05 | $874.05 | $1,311.08 | |
United
| Professional | $73.42 | $104.89 | $175.08 |