| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $102.75 | $190.09 | $438.40 | |
Aetna
| Professional | $102.75 | $106.86 | $130.15 | |
BCBS
| Professional | $72.80 | $140.00 | $269.89 | |
Cigna
| Facility | $54.59 | $301.70 | $430.06 | |
Cigna
| Professional | $61.70 | $94.24 | $371.29 | |
Lucent Health
| Facility | $238.38 | $650.75 | $650.75 | |
Lucent Health
| Professional | $685.00 | $685.00 | $1,027.50 | |
United
| Professional | $57.54 | $82.20 | $137.00 |