| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $732.86 | $732.86 | $732.86 | |
Aetna
| Professional | $596.05 | $744.89 | $900.22 | |
BCBS
| Professional | $786.56 | $990.12 | $1,048.75 | |
Cigna
| Facility | $394.97 | $394.97 | $394.97 | |
Cigna
| Professional | $288.33 | $335.72 | $897.69 | |
Lucent Health
| Facility | $1,165.21 | $5,453.18 | $5,453.18 | |
United
| Professional | $388.20 | $608.94 | $862.67 |