| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $91.67 | $103.65 | $427.77 | |
Aetna
| Professional | $91.67 | $95.33 | $116.11 | |
BCBS
| Professional | $63.55 | $135.80 | $171.11 | |
Cigna
| Facility | $79.44 | $306.22 | $472.95 | |
Cigna
| Professional | $55.62 | $90.28 | $317.00 | |
Lucent Health
| Facility | $212.66 | $580.54 | $580.54 | |
Lucent Health
| Professional | $611.10 | $611.10 | $916.65 | |
United
| Facility | $122.22 | $122.22 | $152.78 | |
United
| Professional | $51.33 | $83.37 | $166.74 |