| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $112.45 | $168.29 | $249.45 | |
Aetna
| Professional | $112.45 | $112.45 | $138.52 | |
BCBS
| Professional | $432.75 | $432.75 | $432.75 | |
Cigna
| Facility | $112.45 | $112.45 | $112.45 | |
Cigna
| Professional | $112.45 | $112.45 | $112.45 | |
Lucent Health
| Facility | $407.91 | $701.55 | $701.55 | |
United
| Professional | $112.45 | $112.45 | $367.84 |