| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $164.60 | $164.60 | $381.81 | |
Aetna
| Professional | $164.59 | $164.60 | $181.06 | |
BCBS
| Professional | $175.62 | $175.62 | $175.62 | |
Cigna
| Facility | $175.41 | $175.41 | $175.41 | |
Cigna
| Professional | $175.41 | $175.41 | $175.41 | |
Lucent Health
| Facility | $177.69 | $374.08 | $675.45 | |
United
| Professional | $156.69 | $177.07 | $187.09 |