| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $154.16 | $154.16 | $168.44 | |
Aetna
| Professional | $144.78 | $159.01 | $288.55 | |
BCBS
| Professional | $204.17 | $308.39 | $308.39 | |
Cigna
| Facility | $177.82 | $227.96 | $227.96 | |
Cigna
| Professional | $166.41 | $166.41 | $227.96 | |
Lucent Health
| Facility | $535.41 | $1,593.03 | $1,593.03 | |
Lucent Health
| Professional | $2,495.10 | $4,160.85 | $4,327.29 | |
United
| Professional | $113.97 | $163.82 | $228.81 |