| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $112.75 | $187.91 | $481.06 | |
Aetna
| Professional | $112.75 | $117.26 | $142.81 | |
BCBS
| Professional | $106.60 | $205.00 | $285.63 | |
Cigna
| Facility | $84.66 | $331.30 | $494.81 | |
Cigna
| Professional | $67.70 | $103.57 | $407.34 | |
Lucent Health
| Facility | $261.57 | $883.04 | $883.04 | |
Lucent Health
| Professional | $751.65 | $751.65 | $1,127.48 | |
United
| Professional | $63.14 | $90.20 | $150.33 |