| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $93.26 | $409.54 | $2,649.40 | |
Aetna
| Professional | $24.75 | $72.98 | $166.31 | |
BCBS
| Professional | $19.68 | $53.37 | $98.32 | |
Cigna
| Professional | $16.64 | $46.17 | $124.09 | |
Lucent Health
| Facility | $241.20 | $241.20 | $247.68 | |
Lucent Health
| Professional | $371.54 | $651.16 | $832.88 | |
United
| Facility | $294.00 | $794.00 | $2,577.00 | |
United
| Professional | $53.98 | $84.06 | $92.33 |