| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $136.44 | $137.07 | $181.93 | |
Aetna
| Professional | $124.02 | $164.98 | $216.01 | |
BCBS
| Professional | $111.61 | $120.90 | $172.12 | |
Cigna
| Professional | $107.38 | $174.79 | $293.82 | |
Lucent Health
| Facility | $262.43 | $685.02 | $696.59 | |
United
| Professional | $149.77 | $179.30 | $340.21 |