| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $76.70 | $127.83 | $327.23 | |
Aetna
| Professional | $76.70 | $79.76 | $97.15 | |
BCBS
| Professional | $76.70 | $143.16 | $235.00 | |
Cigna
| Facility | $84.67 | $256.18 | $413.04 | |
Cigna
| Professional | $46.06 | $70.45 | $276.76 | |
Lucent Health
| Facility | $177.93 | $1,569.67 | $1,569.67 | |
Lucent Health
| Professional | $511.30 | $511.30 | $766.95 | |
United
| Professional | $42.95 | $61.36 | $102.26 |