| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $65.31 | $65.31 | $71.36 | |
Aetna
| Professional | $64.09 | $68.94 | $122.25 | |
BCBS
| Professional | $86.50 | $130.65 | $130.65 | |
Cigna
| Facility | $77.59 | $100.43 | $100.43 | |
Cigna
| Professional | $73.31 | $73.31 | $100.43 | |
Lucent Health
| Facility | $242.87 | $757.74 | $876.23 | |
Lucent Health
| Professional | $958.17 | $958.17 | $1,088.78 | |
United
| Professional | $48.28 | $71.78 | $109.10 |