| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $70.00 | $70.00 | $70.00 | |
Aetna
| Professional | $70.00 | $70.00 | $70.00 | |
BCBS
| Professional | $125.00 | $125.00 | $293.75 | |
Cigna
| Professional | $60.00 | $60.00 | $60.00 | |
Lucent Health
| Facility | $85.09 | $254.31 | $254.31 | |
Lucent Health
| Professional | $254.84 | $259.38 | $407.40 |