| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $167.74 | $167.74 | $183.27 | |
Aetna
| Professional | $163.01 | $170.85 | $315.55 | |
BCBS
| Professional | $275.87 | $340.72 | $367.83 | |
Cigna
| Facility | $312.30 | $312.30 | $312.30 | |
Cigna
| Professional | $227.98 | $227.98 | $312.30 | |
Lucent Health
| Facility | $456.94 | $1,271.08 | $1,271.08 | |
Lucent Health
| Professional | $2,156.94 | $2,214.14 | $2,214.14 | |
United
| Professional | $154.00 | $227.49 | $329.43 |