| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $245.78 | $245.78 | $245.78 | |
Aetna
| Professional | $199.90 | $249.06 | $300.58 | |
BCBS
| Professional | $282.01 | $350.51 | $376.01 | |
Cigna
| Facility | $243.17 | $243.17 | $315.42 | |
Cigna
| Professional | $206.69 | $243.17 | $319.16 | |
Lucent Health
| Facility | $433.80 | $1,744.00 | $1,744.00 | |
United
| Professional | $130.46 | $221.18 | $334.08 |