| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $97.70 | $159.25 | $377.56 | |
Aetna
| Professional | $114.54 | $114.54 | $160.35 | |
BCBS
| Professional | $573.60 | $573.60 | $573.60 | |
Cigna
| Facility | $114.54 | $114.54 | $114.54 | |
Cigna
| Professional | $114.54 | $114.54 | $114.54 | |
Lucent Health
| Facility | $520.79 | $642.04 | $642.04 | |
United
| Professional | $114.54 | $114.54 | $233.66 |