| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $78.79 | $98.04 | $178.02 | |
Aetna
| Professional | $78.80 | $78.80 | $98.86 | |
BCBS
| Professional | $134.56 | $134.56 | $134.56 | |
Cigna
| Facility | $78.79 | $78.79 | $78.79 | |
Cigna
| Professional | $78.79 | $78.79 | $78.79 | |
Lucent Health
| Facility | $116.08 | $394.00 | $405.05 | |
United
| Facility | $78.75 | $78.75 | $78.75 | |
United
| Professional | $78.80 | $78.80 | $116.08 |