| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $129.88 | $129.88 | $129.88 | |
Aetna
| Professional | $105.65 | $132.31 | $158.72 | |
BCBS
| Professional | $144.97 | $182.48 | $207.42 | |
Cigna
| Facility | $130.68 | $130.68 | $143.84 | |
Cigna
| Professional | $111.08 | $130.68 | $171.51 | |
Lucent Health
| Facility | $269.02 | $937.40 | $948.67 | |
United
| Professional | $68.94 | $112.74 | $159.41 |