| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $82.58 | $181.64 | $326.70 | |
Aetna
| Professional | $82.57 | $82.58 | $103.03 | |
BCBS
| Professional | $99.40 | $99.40 | $99.40 | |
Cigna
| Facility | $82.57 | $82.57 | $82.57 | |
Cigna
| Professional | $82.57 | $82.57 | $82.57 | |
Lucent Health
| Facility | $102.63 | $368.04 | $368.04 | |
United
| Professional | $82.58 | $82.58 | $110.95 |