| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $164.42 | $164.42 | $271.29 | |
Aetna
| Professional | $164.42 | $164.42 | $198.95 | |
BCBS
| Professional | $217.49 | $217.49 | $217.49 | |
Cigna
| Facility | $219.62 | $219.62 | $219.62 | |
Cigna
| Professional | $219.62 | $219.62 | $219.62 | |
Lucent Health
| Facility | $212.80 | $448.00 | $815.59 | |
United
| Professional | $164.42 | $185.79 | $235.16 |