| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $676.08 | $1,122.02 | $2,691.53 | |
Aetna
| Professional | $512.86 | $512.86 | $954.99 | |
BCBS
| Professional | $676.08 | $676.08 | $691.83 | |
Cigna
| Professional | $489.78 | $489.78 | $489.78 | |
Lucent Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $630.96 | $630.96 | $630.96 |