| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $87.57 | $87.57 | $400.00 | |
BCBS
| Professional | $210.00 | $210.00 | $210.00 | |
Cigna
| Professional | $285.29 | $512.00 | $512.00 | |
Lucent Health
| Facility | $279.00 | $491.00 | $491.00 | |
Lucent Health
| Professional | $614.00 | $614.00 | $614.00 | |
United
| Professional | $240.45 | $367.00 | $367.00 |