| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $446.68 | $446.68 | $794.33 | |
Aetna
| Professional | $446.68 | $446.68 | $446.68 | |
BCBS
| Professional | $489.78 | $489.78 | $489.78 | |
Cigna
| Professional | $257.04 | $257.04 | $257.04 | |
Lucent Health
| Facility | $100.00 | $100.00 | $100.00 |