| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $81.84 | $136.41 | $381.97 | |
Aetna
| Professional | $81.84 | $85.12 | $103.67 | |
BCBS
| Professional | $81.84 | $148.88 | $389.50 | |
Cigna
| Facility | $70.93 | $273.14 | $422.16 | |
Cigna
| Professional | $49.66 | $80.68 | $282.91 | |
Lucent Health
| Facility | $189.89 | $518.37 | $518.37 | |
Lucent Health
| Professional | $545.65 | $545.65 | $818.48 | |
United
| Professional | $45.83 | $89.11 | $148.88 |