| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $133.63 | $133.63 | $133.63 | |
Aetna
| Professional | $108.69 | $140.76 | $162.91 | |
BCBS
| Professional | $160.78 | $192.39 | $213.26 | |
Cigna
| Facility | $123.59 | $123.59 | $123.59 | |
Cigna
| Professional | $105.05 | $123.59 | $155.94 | |
Lucent Health
| Facility | $267.85 | $886.11 | $922.40 | |
United
| Professional | $79.66 | $129.01 | $205.92 |