| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.71 | $72.20 | $84.94 | |
Aetna
| Professional | $59.28 | $74.43 | $102.62 | |
BCBS
| Professional | $49.22 | $75.05 | $139.01 | |
Cigna
| Professional | $57.00 | $84.00 | $143.43 | |
Lucent Health
| Facility | $298.20 | $298.20 | $318.39 | |
Lucent Health
| Professional | $439.43 | $491.49 | $599.33 | |
Optum
| Professional | $72.11 | $91.87 | $149.44 | |
United
| Professional | $72.11 | $93.98 | $171.60 |