| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $96.06 | $97.48 | $128.08 | |
Aetna
| Professional | $93.34 | $115.94 | $151.94 | |
BCBS
| Professional | $98.58 | $106.79 | $125.64 | |
Cigna
| Professional | $95.69 | $122.22 | $235.80 | |
Lucent Health
| Facility | $236.23 | $573.72 | $625.91 | |
United
| Professional | $105.70 | $124.46 | $268.29 |