| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $855.14 | $855.14 | $934.32 | |
Aetna
| Professional | $754.00 | $855.14 | $1,600.57 | |
BCBS
| Professional | $1,132.48 | $1,710.68 | $1,710.68 | |
Cigna
| Facility | $853.32 | $1,030.36 | $1,030.36 | |
Cigna
| Professional | $752.17 | $752.17 | $1,030.36 | |
Lucent Health
| Facility | $2,969.92 | $8,437.43 | $10,110.42 | |
Lucent Health
| Professional | $10,969.29 | $11,232.54 | $12,751.35 | |
United
| Professional | $632.17 | $902.36 | $1,253.07 |