| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $98.16 | $98.16 | $161.96 | |
Aetna
| Professional | $98.15 | $98.16 | $107.97 | |
BCBS
| Professional | $87.89 | $87.89 | $87.89 | |
Cigna
| Facility | $96.58 | $96.58 | $96.58 | |
Cigna
| Professional | $96.58 | $96.58 | $96.58 | |
Lucent Health
| Facility | $90.59 | $131.84 | $175.78 | |
United
| Professional | $98.16 | $103.33 | $115.83 |