| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $165.96 | $181.97 | $295.12 | |
Aetna
| Professional | $147.91 | $181.97 | $316.23 | |
BCBS
| Professional | $281.84 | $281.84 | $338.84 | |
Cigna
| Facility | $309.03 | $309.03 | $309.03 | |
Cigna
| Professional | $229.09 | $229.09 | $309.03 | |
Lucent Health
| Facility | $1,258.93 | $1,258.93 | $1,258.93 | |
Lucent Health
| Professional | $2,238.72 | $2,238.72 | $2,238.72 | |
United
| Facility | $147.91 | $208.93 | $269.15 | |
United
| Professional | $147.91 | $218.78 | $302.00 |