| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $112.20 | $123.03 | $478.63 | |
Aetna
| Professional | $100.00 | $120.23 | $199.53 | |
BCBS
| Professional | $77.62 | $151.36 | $204.17 | |
Cigna
| Facility | $67.61 | $309.03 | $467.74 | |
Cigna
| Professional | $67.61 | $97.72 | $204.17 | |
Lucent Health
| Facility | $891.25 | $891.25 | $891.25 | |
Lucent Health
| Professional | $758.58 | $1,122.02 | $1,122.02 | |
United
| Facility | $53.70 | $151.36 | $151.36 | |
United
| Professional | $63.10 | $91.20 | $151.36 |