| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $132.94 | $221.56 | $620.36 | |
Aetna
| Professional | $132.94 | $138.26 | $168.39 | |
BCBS
| Professional | $126.43 | $233.97 | $389.50 | |
Cigna
| Facility | $117.51 | $443.64 | $686.29 | |
Cigna
| Professional | $80.68 | $131.10 | $459.48 | |
Lucent Health
| Facility | $308.42 | $841.94 | $841.94 | |
Lucent Health
| Professional | $886.25 | $886.25 | $1,329.38 | |
United
| Professional | $74.45 | $133.00 | $241.81 |