| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $124.13 | $206.89 | $529.63 | |
Aetna
| Professional | $124.13 | $129.10 | $157.22 | |
BCBS
| Professional | $86.76 | $165.92 | $314.47 | |
Cigna
| Facility | $85.44 | $399.87 | $519.23 | |
Cigna
| Professional | $74.43 | $110.66 | $315.63 | |
Lucent Health
| Facility | $287.99 | $786.17 | $786.17 | |
Lucent Health
| Professional | $827.55 | $827.55 | $1,241.33 | |
United
| Professional | $69.51 | $99.31 | $165.92 |