| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $144.94 | $210.16 | $618.40 | |
Aetna
| Professional | $144.94 | $150.74 | $183.59 | |
BCBS
| Professional | $100.49 | $255.09 | $380.70 | |
Cigna
| Facility | $131.99 | $416.16 | $689.81 | |
Cigna
| Professional | $87.99 | $132.97 | $332.19 | |
Lucent Health
| Facility | $336.26 | $917.94 | $917.94 | |
Lucent Health
| Professional | $962.39 | $962.39 | $1,449.38 | |
United
| Professional | $81.17 | $115.95 | $193.25 |