| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $155.47 | $259.14 | $725.60 | |
Aetna
| Professional | $155.47 | $161.69 | $196.94 | |
BCBS
| Professional | $107.80 | $242.31 | $431.39 | |
Cigna
| Facility | $167.84 | $519.14 | $1,094.01 | |
Cigna
| Professional | $94.40 | $184.90 | $587.74 | |
Lucent Health
| Facility | $360.72 | $984.72 | $984.72 | |
Lucent Health
| Professional | $1,488.30 | $1,488.30 | $1,554.83 | |
United
| Professional | $87.07 | $207.31 | $310.97 |