| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $135.99 | $185.66 | $249.92 | |
BCBS
| Professional | $153.21 | $212.65 | $378.41 | |
Cigna
| Professional | $150.88 | $150.88 | $150.88 | |
Lucent Health
| Professional | $1,166.83 | $1,166.83 | $1,436.55 | |
United
| Professional | $123.31 | $212.00 | $373.88 |