| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $280.50 | $280.50 | $297.33 | |
Aetna
| Professional | $297.33 | $297.33 | $297.33 | |
BCBS
| Professional | $330.00 | $330.00 | $330.00 | |
Cigna
| Facility | $326.48 | $326.48 | $326.48 | |
Cigna
| Professional | $326.48 | $326.48 | $326.48 | |
Lucent Health
| Facility | $313.50 | $660.00 | $1,237.50 | |
United
| Professional | $300.25 | $300.25 | $354.30 |