| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $101.91 | $101.91 | $101.91 | |
Aetna
| Professional | $64.93 | $95.46 | $119.06 | |
BCBS
| Professional | $81.52 | $88.32 | $103.91 | |
Cigna
| Professional | $94.04 | $94.04 | $116.25 | |
Lucent Health
| Facility | $179.38 | $538.49 | $538.49 | |
United
| Professional | $87.26 | $105.72 | $198.33 |