| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $208.31 | $208.31 | $227.60 | |
Aetna
| Professional | $204.45 | $219.88 | $389.90 | |
BCBS
| Professional | $275.87 | $416.71 | $416.71 | |
Cigna
| Facility | $224.99 | $295.70 | $295.70 | |
Cigna
| Professional | $215.87 | $215.87 | $295.70 | |
Lucent Health
| Facility | $723.46 | $2,182.33 | $2,665.75 | |
Lucent Health
| Professional | $2,693.81 | $2,693.81 | $3,156.83 | |
United
| Facility | $142.19 | $208.12 | $253.05 | |
United
| Professional | $154.00 | $226.17 | $316.31 |