| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104.37 | $104.37 | $104.37 | |
Aetna
| Professional | $84.89 | $105.76 | $129.31 | |
BCBS
| Professional | $108.16 | $145.22 | $146.24 | |
Cigna
| Facility | $111.50 | $111.50 | $126.58 | |
Cigna
| Professional | $94.78 | $111.50 | $129.57 | |
Lucent Health
| Facility | $167.12 | $782.12 | $782.12 | |
United
| Professional | $55.39 | $94.87 | $134.54 |