| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $112.95 | $112.95 | $112.95 | |
Aetna
| Professional | $91.87 | $114.46 | $139.72 | |
BCBS
| Professional | $130.38 | $169.68 | $173.84 | |
Cigna
| Facility | $64.17 | $64.17 | $64.17 | |
Cigna
| Professional | $54.54 | $64.17 | $64.17 | |
Lucent Health
| Facility | $181.53 | $821.30 | $851.20 | |
United
| Professional | $48.22 | $91.24 | $150.75 |