| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $92.45 | $92.45 | $92.45 | |
Aetna
| Professional | $75.19 | $93.68 | $116.79 | |
BCBS
| Professional | $98.97 | $121.37 | $131.96 | |
Cigna
| Facility | $94.65 | $94.65 | $114.25 | |
Cigna
| Professional | $80.45 | $94.65 | $124.23 | |
Lucent Health
| Facility | $152.43 | $679.35 | $679.35 | |
United
| Professional | $49.06 | $84.01 | $122.66 |