| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $81.17 | $81.17 | $88.69 | |
Aetna
| Professional | $74.13 | $82.68 | $152.74 | |
BCBS
| Professional | $135.71 | $166.09 | $180.95 | |
Cigna
| Facility | $104.66 | $133.72 | $133.72 | |
Cigna
| Professional | $97.62 | $97.62 | $133.72 | |
Lucent Health
| Facility | $219.47 | $620.42 | $620.42 | |
Lucent Health
| Professional | $1,040.40 | $1,067.99 | $1,067.99 | |
United
| Professional | $75.76 | $105.91 | $147.00 |