| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $177.56 | $288.99 | $565.79 | |
Aetna
| Professional | $177.56 | $177.56 | $214.85 | |
BCBS
| Professional | $177.16 | $177.16 | $177.16 | |
Cigna
| Facility | $174.44 | $174.44 | $174.44 | |
Cigna
| Professional | $174.44 | $174.44 | $174.44 | |
Lucent Health
| Facility | $182.59 | $373.80 | $664.35 | |
United
| Professional | $155.75 | $155.75 | $186.90 |