| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $70.23 | $70.23 | $76.73 | |
Aetna
| Professional | $67.34 | $71.53 | $132.13 | |
BCBS
| Professional | $116.87 | $143.40 | $155.83 | |
Cigna
| Facility | $128.79 | $128.79 | $128.79 | |
Cigna
| Professional | $94.02 | $94.02 | $128.79 | |
Lucent Health
| Facility | $190.29 | $532.72 | $532.72 | |
Lucent Health
| Professional | $811.35 | $814.14 | $814.14 | |
United
| Professional | $65.23 | $94.23 | $136.46 |