| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $140.75 | $140.75 | $232.24 | |
Aetna
| Professional | $140.75 | $140.75 | $170.31 | |
BCBS
| Professional | $166.48 | $166.48 | $166.48 | |
Cigna
| Facility | $161.82 | $161.82 | $161.82 | |
Cigna
| Professional | $161.82 | $161.82 | $161.82 | |
Lucent Health
| Facility | $323.39 | $389.68 | $624.29 | |
United
| Professional | $144.47 | $144.47 | $173.08 |