| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $62.25 | $103.75 | $265.60 | |
Aetna
| Professional | $62.25 | $64.73 | $78.84 | |
BCBS
| Professional | $43.48 | $83.04 | $157.78 | |
Cigna
| Facility | $49.79 | $200.80 | $295.80 | |
Cigna
| Professional | $37.29 | $55.56 | $158.16 | |
Lucent Health
| Facility | $144.41 | $394.25 | $394.25 | |
Lucent Health
| Professional | $415.00 | $415.00 | $622.50 | |
United
| Professional | $34.86 | $44.72 | $83.04 |