| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $218.52 | $404.26 | $938.18 | |
Aetna
| Professional | $218.52 | $227.26 | $276.79 | |
BCBS
| Professional | $151.51 | $384.60 | $573.98 | |
Cigna
| Facility | $166.57 | $599.91 | $1,040.56 | |
Cigna
| Professional | $129.90 | $194.94 | $496.32 | |
Lucent Health
| Facility | $506.97 | $1,383.96 | $1,383.96 | |
Lucent Health
| Professional | $1,456.80 | $1,456.80 | $2,185.19 | |
United
| Professional | $122.37 | $174.82 | $291.36 |