| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $95.95 | $95.95 | $95.95 | |
Aetna
| Professional | $78.04 | $97.23 | $122.16 | |
BCBS
| Professional | $108.98 | $131.03 | $145.30 | |
Cigna
| Facility | $100.30 | $100.30 | $100.30 | |
Cigna
| Professional | $85.26 | $100.30 | $114.85 | |
Lucent Health
| Facility | $167.50 | $719.88 | $719.88 | |
United
| Professional | $50.93 | $83.92 | $129.10 |