| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $741.31 | $812.83 | $1,288.25 | |
Aetna
| Professional | $575.44 | $758.58 | $1,380.38 | |
BCBS
| Professional | $1,230.27 | $1,230.27 | $1,318.26 | |
Cigna
| Facility | $1,023.29 | $1,023.29 | $1,023.29 | |
Cigna
| Professional | $741.31 | $741.31 | $1,023.29 | |
Lucent Health
| Facility | $6,760.83 | $6,760.83 | $6,760.83 | |
Lucent Health
| Professional | $7,244.36 | $9,549.93 | $9,549.93 | |
United
| Facility | $398.11 | $630.96 | $1,000.00 | |
United
| Professional | $489.78 | $758.58 | $954.99 |