| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,796.21 | $1,796.21 | $1,796.21 | |
Aetna
| Professional | $1,773.55 | $1,809.82 | $2,036.46 | |
BCBS
| Professional | $2,015.85 | $3,023.78 | $3,023.78 | |
Cigna
| Professional | $2,349.75 | $2,690.16 | $3,105.91 | |
Lucent Health
| Facility | $100.00 | $100.00 | $100.00 |