| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $100.00 | $173.78 | |
Aetna
| Professional | $100.00 | $100.00 | $100.00 | |
BCBS
| Professional | $489.78 | $489.78 | $489.78 | |
Cigna
| Professional | $112.20 | $112.20 | $112.20 | |
Lucent Health
| Facility | $102.33 | $102.33 | $102.33 |