| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.74 | $2,038.46 | $8,153.84 | |
Aetna
| Professional | $50.74 | $50.74 | $61.02 | |
BCBS
| Professional | $108.62 | $108.62 | $108.62 | |
Cigna
| Facility | $50.74 | $50.74 | $50.74 | |
Cigna
| Professional | $50.74 | $50.74 | $50.74 | |
Lucent Health
| Facility | $96.02 | $245.90 | $253.70 | |
United
| Professional | $50.74 | $50.74 | $97.85 |