| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.31 | $143.91 | $296.10 | |
Aetna
| Professional | $49.11 | $66.76 | $163.19 | |
BCBS
| Professional | $57.93 | $87.24 | $154.44 | |
Cigna
| Facility | $55.00 | $65.00 | $95.00 | |
Cigna
| Professional | $46.14 | $84.36 | $127.74 | |
Lucent Health
| Facility | $184.07 | $458.69 | $516.79 | |
Lucent Health
| Professional | $633.66 | $633.66 | $824.10 | |
United
| Professional | $70.16 | $77.25 | $96.02 |