| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $129.88 | $240.28 | $619.95 | |
Aetna
| Professional | $129.88 | $136.80 | $175.59 | |
BCBS
| Professional | $123.78 | $228.58 | $452.28 | |
Cigna
| Facility | $119.88 | $433.46 | $683.18 | |
Cigna
| Professional | $78.89 | $154.38 | $401.14 | |
Lucent Health
| Facility | $301.32 | $826.74 | $826.74 | |
Lucent Health
| Professional | $1,338.46 | $1,423.97 | $1,423.97 | |
United
| Professional | $103.90 | $173.17 | $380.97 |