| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $796.09 | $1,216.23 | $1,656.31 | |
Aetna
| Professional | $796.09 | $796.09 | $968.18 | |
BCBS
| Professional | $800.15 | $868.09 | $905.83 | |
Cigna
| Facility | $796.09 | $796.09 | $796.09 | |
Cigna
| Professional | $796.09 | $796.09 | $796.09 | |
Lucent Health
| Facility | $948.84 | $3,356.12 | $3,356.12 | |
United
| Professional | $318.44 | $796.09 | $875.70 |